| Newport Centre Dental | |
|
30-152 A Mall Drive West Jersey City NJ 07310 | |
| (201) 626-2500 | |
| (201) 626-2502 |
| Full Name | Newport Centre Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 30-152 A Mall Drive West, Jersey City, New Jersey |
| Authorized Official Name and Position | Alexander Mikhailov (OWNER) |
| Authorized Official Contact | 2016262500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newport Centre Dental 30-152 A Mall Drive West Jersey City NJ 07310 Ph: (201) 626-2500 | Newport Centre Dental 30-152 A Mall Drive West Jersey City NJ 07310 Ph: (201) 626-2500 |
| NPI Number | 1174736458 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174736458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19779 (New Jersey) | Primary |
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