Mr James Howard Dykstra, DDS is a medicare enrolled "Dentist" provider in Harrington Park, New Jersey. His current practice location is
1 Park St, Suite 1, Harrington Park, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 768-0106.
Mr James Howard Dykstra is licensed to practice in New Jersey (license number 22DI01473400) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063519700.
Healthcare Provider's Profile
Full Name | Mr James Howard Dykstra |
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Gender | Male |
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Speciality | Dentist |
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Location | 1 Park St, Harrington Park, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063519700
- Provider Enumeration Date: 09/17/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0345545703
- Enrollment ID: I20160223000371
Medical Identifiers
Medical identifiers for Mr James Howard Dykstra such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063519700 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 22DI01473400 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr James Howard Dykstra is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr James Howard Dykstra, DDS 1 Duke Ct, Park Ridge, NJ 07656-2209 Ph: (201) 476-0472 | Mr James Howard Dykstra, DDS 1 Park St, Suite 1, Harrington Park, NJ 07640-1905 Ph: (201) 768-0106 |
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