State Street Smiles

Organization Active
NPI 1073060612
Advanced Practice Dental Therapist Hackensack, NJ

State Street Smiles holds NPI 1073060612, with a primary taxonomy of advanced practice dental therapist and a practice location in Hackensack, NJ. The number was issued on September 1, 2016 and the NPPES record was last updated on September 1, 2016.

This record hasn't been updated in NPPES since 2016. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Advanced Practice Dental Therapist Primary 125K00000X Not listed

Practice location

405 Main Street
Hackensack, NJ 07601
Phone: (201) 487-7030

Local context

Active NPPES records list 1 provider with advanced practice dental therapist as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 1 in New Jersey and 106 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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