| All City Dental Services | |
|
644 Mt. Prospect Ave Newark NJ 07104 | |
| (973) 481-3900 | |
| (973) 481-2999 |
| Full Name | All City Dental Services |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 644 Mt. Prospect Ave, Newark, New Jersey |
| Authorized Official Name and Position | Fariba Sharifan (DENTIST) |
| Authorized Official Contact | 9734813900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All City Dental Services 644 Mt. Prospect Ave Newark NJ 07104 Ph: (973) 481-3900 | All City Dental Services 644 Mt. Prospect Ave Newark NJ 07104 Ph: (973) 481-3900 |
| NPI Number | 1487879128 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487879128 | NPI | - | NPPES |
| 1101738 | Other | NJ | NJ HEALTH |
| 7943601 | Medicaid | NJ | |
| 3128903 | Medicaid | NJ | |
| 011070 | Other | NJ | DORAL DENTAL |
| D0000031300 | Other | NJ | AMERICHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20295 (New Jersey) | Primary |
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