PRAKHAR MEHROTRA (NPI# 1740624121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740624121 |
| Entity Type | Individual |
| Full Name | PRAKHAR MEHROTRA |
| Credential | DDS |
| Practice Address |
58 Mount Bethel Rd Ste 202 Warren NJ 07059 |
| Mailing Address |
58 Mount Bethel Rd Ste 202 Warren NJ 07059-2655 |
| Practice Telephone | 9082227922 |
| Practice Fax Number | 9082227923 |
| Mailing Telephone | 9082227922 |
| Mailing Fax Number | 9082227923 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2019-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
22DI02730000 | NJ | Dental Providers |
| Street Address |
58 MOUNT BETHEL RD STE 202 |
| City | WARREN |
| State | NJ |
| Zip Code | 07059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750766358 | Taneenop Aramphongphan | Dentist | 58 Mount Bethel Rd Ste 202, Warren, NJ 07059-2655 | 2015-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245680826 | Brightview Warren, LLC | Alzheimer Center (Dementia Center) | 55 Mt. Bethel Road, Warren, NJ 07059 | 2016-06-15 |
| 1245617786 | Mt Bethel Day Program LLC | Clinic/Center | 67 Mountain Blvd, Suite 201, Warren, NJ 07059 | 2015-05-05 |
| 1831509413 | Chandana Pande | Internal Medicine | 34 Moutain Blvd, Warren, NJ 07059 | 2014-05-05 |
| 1558680231 | International Healthcare of Nj | Specialist | 3 Tiffanys Way, Warren, NJ 07059 | 2010-05-20 |
| 1740430495 | Danielle Lynnette Neumann | Physical Therapist | 247 King George Rd, Warren, NJ 07059 | 2008-09-30 |
| 1831358381 | Linda Zhang | Ophthalmology | 65 Mountain Blvd. Ext, Ste. 105, Warren, NJ 07059 | 2008-06-09 |
| 1356515597 | Tiffany Lynn Scott | Pediatrics | 76 Stirling Rd., Suite 201, Warren, NJ 07059 | 2008-04-18 |
| 1710011283 | Vincent Frederick Colon | Psychiatry & Neurology | 161 Washington Valley Road, Suite #206, Warren, NJ 07059 | 2007-03-15 |
| 1972666089 | Kwei Ping Shen Kwei | Dentist | 108 Mt Bethel Rd, Warren, NJ 07059 | 2006-12-19 |
| 1205901170 | Angelica M. Diaz-martinez | Psychologist | 112 Town Center, Dm Psychological Consultants LLC, Warren, NJ 07059 | 2006-11-22 |
| Find all providers in zip 07059 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770848129 | Bradley Dental | Dentist | 21635 Ryan Rd, Warren, MI 48091-2788 | 2012-07-11 |
| 1912017336 | Michael B. Krzemien | Dentist | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2006-08-30 |
| 1790730406 | John Mason Hackenberger | Dentist | 29427 Ryan Rd, Warren, MI 48092-2203 | 2006-05-23 |
| 1033163886 | Terry B Philibin | Dentist | 405 Niles Cortland Rd Se, Suite #101, Warren, OH 44484-2460 | 2006-05-19 |
| 1124089545 | Jeffrey Richard Mcclain | Dentist | 8893 E Market St, Warren, OH 44484-2351 | 2006-03-28 |
| 1366442212 | Steven M. Wolf | Dentist | 25916 Dequindre Rd, Warren, MI 48091-6112 | 2005-07-21 |
| 1750766358 | Taneenop Aramphongphan | Dentist | 58 Mount Bethel Rd Ste 202, Warren, NJ 07059-2655 | 2015-07-23 |
| 1376923623 | Mark Grinzinger | Dentist | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2015-06-02 |
| 1720341886 | Arshi Lehal | Dentist | 29427 Ryan Rd, Warren, MI 48092 | 2012-06-22 |
| 1447548607 | Warren Oral & Maxillofacial Surgery Associates, LLC | Dentist | 58 Mount Bethel Rd, Suite 202, Warren, NJ 07059-2654 | 2011-07-21 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on PRAKHAR MEHROTRA.
| 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.