FIRST MOUNTAIN DENTAL GROUP P.C. (NPI# 1477670206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477670206 |
| Entity Type | Organization |
| Organization Name | FIRST MOUNTAIN DENTAL GROUP P.C. |
| Practice Address |
31 S Fullerton Ave Suite A Montclair NJ 07042-3455 |
| Practice Telephone | 9737467771 |
| Practice Fax Number | 9737462177 |
| Mailing Telephone | 9737467771 |
| Mailing Fax Number | 9737462177 |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2015-08-31 |
| Authorized Official Name | DR. KONSTANTINE TRICHAS (PRESIDENT) |
| Authorized Official Telephone | 9737467771 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI01960400 | NJ | Dental Providers |
| Street Address |
31 S FULLERTON AVE SUITE A |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295706489 | Fredrika Alper | Psychologist | 31 S Fullerton Ave, Montclair, NJ 07042-3358 | 2006-01-27 |
| 1306310958 | Henchi Goldberg | Social Worker | 31 S Fullerton Ave, Montclair, NJ 07042-3455 | 2019-01-16 |
| 1194194795 | Linda Rosenberg | Counselor | 31 S Fullerton Ave, Montclair, NJ 07042-3455 | 2015-09-24 |
| 1811388572 | Novo Psychological Services LLC | Psychologist | 31 S Fullerton Ave, 2nd Floor, Montclair, NJ 07042-3455 | 2015-02-16 |
| 1467850586 | Mary Culley | Social Worker | 31 S Fullerton Ave, Montclair, NJ 07042-3455 | 2014-12-06 |
| 1295132330 | Mirta Lopez | Social Worker | 31 S Fullerton Ave, 2nd Flr, Montclair, NJ 07042-3455 | 2014-12-03 |
| 1447651112 | Bonnie Cushing | Social Worker | 31 S Fullerton Ave, Montclair, NJ 07042-3455 | 2014-09-11 |
| 1336416775 | Dana Lewisohn | Social Worker | 31 S Fullerton Ave, Montclair, NJ 07042-3455 | 2011-11-30 |
| 1851668818 | Wolf Mehlman Psychological Associates, LLC | Community/Behavioral Health | 31 S Fullerton Ave, Montclair, NJ 07042-3455 | 2011-11-18 |
| 1528354834 | Ryan John Montes | Psychologist | 31 S Fullerton Ave, Montclair, NJ 07042-3455 | 2011-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335760 | Cho Jeon Yun Dental Partnership | Dentist | 9655 Monte Vista Ave #406, Montclair, CA 91763 | 2020-08-07 |
| 1770147670 | Langroodi Dental Professional Corporation | Dentist | 5461 Holt Blvd, Montclair, CA 91763-4500 | 2019-04-25 |
| 1265999072 | Pomona Community Health Center | Dentist | 4900 Orchard St, Montclair, CA 91763-3228 | 2019-02-28 |
| 1801353628 | Pomona Community Health Center | Dentist | 5625 Kingsley St, Montclair, CA 91763-3948 | 2019-02-28 |
| 1508323379 | Pomona Community Health Center | Dentist | 4650 Howard St, Montclair, CA 91763-6414 | 2019-02-27 |
| 1609364108 | D'amore Russo Dental Design Studio Dr Dds | Dentist | 100 Grove St Ste 3, Montclair, NJ 07042-4006 | 2018-04-30 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1972955524 | Susan Han-lu Chu | Dentist | 4439 Mission Blvd Ste E, Montclair, CA 91763-6067 | 2016-07-07 |
| 1205248812 | Quratulanne Muneer | Dentist | 9359 Central Ave, Suite D1, Montclair, CA 91763-2452 | 2014-05-30 |
| 1962794107 | Cadalso Dental Corporation | Dentist | 4380 Holt Blvd Ste E, Montclair, CA 91763-5407 | 2011-05-05 |
| Find all providers in MONTCLAIR | ||||
Please comment or provide details below to improve the information on FIRST MOUNTAIN DENTAL GROUP P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.