CARCAMO DENTAL CENTRE LLC (NPI# 1780716316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780716316 |
| Entity Type | Organization |
| Organization Name | CARCAMO DENTAL CENTRE LLC |
| Other Organization Name | JORGE Y. CARCAMO,DMD |
| Practice Address |
134 Ridge Rd. Lyndhurst NJ 07071 |
| Practice Telephone | 2019331700 |
| Practice Fax Number | 2013554611 |
| Mailing Telephone | 2019331700 |
| Mailing Fax Number | 2013554611 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | DR. JORGE Y. CARCAMO (MANAGER) |
| Authorized Official Telephone | 2019331700 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI01561600 | NJ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 09674784E | 05 |
| Other Name | Type Code |
|---|---|
| Jorge Y. Carcamo,DMD | Other Name - Individual/Organization |
| Street Address |
134 RIDGE RD. |
| City | LYNDHURST |
| State | NJ |
| Zip Code | 07071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316504905 | Sarah West | Counselor | 1050 Well St West, Suite 310, Lyndhurst, NJ 07071 | 2019-05-20 |
| 1124588496 | Reed Next, Inc. | Clinic/Center | 1 Dekorte Park Plaza, Lyndhurst, NJ 07071 | 2019-03-22 |
| 1881181733 | Vein Care Associates of Nj Inc. | Specialist | 576 Valley Brook Ave., Suite 2, Lyndhurst, NJ 07071 | 2018-04-17 |
| 1952815789 | Michael Zakko | Acupuncturist | 480 Stuyvesant Ave, Lyndhurst, NJ 07071 | 2017-12-01 |
| 1083131544 | Core Surgery Center LLC | Clinic/Center | 256 Stuyvesant Avenue, Lyndhurst, NJ 07071 | 2017-08-25 |
| 1013446434 | Eva Pena | Counselor | 516 Valleybrook Ave., Lyndhurst, NJ 07071 | 2017-06-08 |
| 1578973392 | Boston Medical Group-new Jersey, P.a. | Urology | 1050 Wall Street West, Suite 120, Lyndhurst, NJ 07071 | 2014-05-01 |
| 1962849935 | Guardian Intraoperative Neuromomitoring | Clinic/Center | 576 Valley Brook Ave, Lyndhurst, NJ 07071 | 2013-05-30 |
| 1568736106 | Metro Anesthesia Associates LLC | Specialist | 256 Stuyvesant Ave, Lyndhurst, NJ 07071 | 2012-02-29 |
| 1215235437 | Sanil Gandhi | Pharmacist | 321 Wilson Avenue, Lyndhurst, NJ 07071 | 2011-03-11 |
| Find all providers in zip 07071 | ||||
| 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 |
|---|---|---|---|---|
| 1326394446 | Gerald R Lander | Dentist | 2202 Acacia Park Dr, Unit 2615, Lyndhurst, OH 44124-3865 | 2012-07-26 |
| 1568736668 | Radha Sai Manchikanti | Dentist | 630 Valley Brook Ave, Unit 14, Lyndhurst, NJ 07071-2032 | 2012-03-07 |
| 1184801888 | Nooreen Ali | Dentist | 633 Ridge Rd, Lyndhurst, NJ 07071-3219 | 2008-01-24 |
| 1578742755 | Jeffrey A Young | Dentist | 29001 Cedar Rd Ste 660, Lyndhurst, OH 44124-4041 | 2007-10-24 |
| 1720298946 | Joseph A, Ciani Jr. | Dentist | 531 Ridge Rd, Lyndhurst, NJ 07071-2739 | 2007-05-23 |
| 1841313889 | Peter Andrew Velardi | Dentist | 57 Ridge Road, Lyndhurst, NJ 07071-1237 | 2007-04-06 |
| 1841322542 | Jorge Yamil Carcamo | Dentist | 134 Ridge Rd, Lyndhurst, NJ 07071 | 2007-03-09 |
| 1437292232 | Simon & Schmidt, D.d.s., PC, T.a. Dental Care | Dentist | 331 Ridge Rd, Lyndhurst, NJ 07071-2209 | 2007-02-14 |
| 1659412633 | Charles Lawrence Wilson | Dentist | 5231 Mayfield Rd, Lyndhurst, OH 44124-2407 | 2007-02-10 |
| 1669510756 | Michael Mark Lepore | Dentist | 5576 Mayfield Rd, Lyndhurst, OH 44124-2928 | 2007-02-02 |
| Find all providers in LYNDHURST | ||||
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| 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.