MEDICARE: DREAM DENTAL ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1801744073
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DREAM DENTAL ASSOCIATES

Provider Business Mailing Address
First Line	:	2 E MADISON AVE
Second Line	:
City	:	DUMONT
State	:	NJ
Zip	:	07628-2416
Country	:	US
Telephone Number	:	551-408-9192
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 E MADISON AVE
Second Line	:
City	:	DUMONT
State	:	NJ
Zip	:	07628-2416
Country	:	US
Telephone Number	:	551-408-9192
Fax Number	:

Authorized Official
Title or Position	:	GENERAL DENTIST
Name	:	JAE AN
Credential	:	DDS
Telephone Number	:	551-408-9192

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	03/21/2026

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Directions to “DREAM DENTAL ASSOCIATES ” Practice Location

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