| All American Dental Pc | |
|
14 West Winfield Scott Plz Elizabeth NJ 07201 | |
| (908) 353-5400 | |
| (908) 353-7273 |
| Full Name | All American Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14 West Winfield Scott Plz, Elizabeth, New Jersey |
| Authorized Official Name and Position | Aleksey Novakhov (OWNER) |
| Authorized Official Contact | 9083535400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All American Dental Pc 14 West Winfield Scott Plz Elizabeth NJ 07201 Ph: (908) 353-5400 | All American Dental Pc 14 West Winfield Scott Plz Elizabeth NJ 07201 Ph: (908) 353-5400 |
| NPI Number | 1063522456 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063522456 | NPI | - | NPPES |
| D0000129500 | Other | NJ | AMERICHOICE |
| 0030724 | Medicaid | NJ | |
| 60016392 | Other | NJ | HORIZON |
| 0020079 | Medicaid | NJ | |
| 059900 | Other | NJ | DELTA NJ |
| 1646362 | Other | NJ | UNITED CONCORDIA |
| 00000111700 | Other | NJ | AMERICHOICE |
| 0084646 | Medicaid | NJ | |
| 103751 | Other | NJ | POKAL |
| 900 | Other | NJ | DELTA FLAGSHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22D102233400 (New Jersey) | Primary |
| 1223G0001X | Dentist - General Practice | 22D102059900 (New Jersey) | Secondary |
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