Healthcare Provider Details

I. General information

NPI: 1265765671
Provider Name (Legal Business Name): ALLIED ORTHODONTICS P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2009
Last Update Date: 09/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1219 MAIN AVE
CLIFTON NJ
07011-2241
US

IV. Provider business mailing address

401 COMMERCE DR SUITE 108
FORT WASHINGTON PA
19034-2714
US

V. Phone/Fax

Practice location:
  • Phone: 973-473-0900
  • Fax: 973-772-3989
Mailing address:
  • Phone: 215-525-0105
  • Fax: 215-646-6369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License NumberDI02012800
License Number StateNJ

VIII. Authorized Official

Name: NIRANJAN SAVANI
Title or Position: OWNER
Credential: DMD
Phone: 973-473-0900