Healthcare Provider Details

I. General information

NPI: 1477663862
Provider Name (Legal Business Name): DOV M ALMOG D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VA NEW JERSEY HEALTH CARE SYSTEM 385 TREMONT AVENUE
EAST ORANGE NJ
07018
US

IV. Provider business mailing address

7 CLIFF RD #C1
WEST PATERSON NJ
07424-4221
US

V. Phone/Fax

Practice location:
  • Phone: 973-676-1000
  • Fax: 973-395-7019
Mailing address:
  • Phone: 973-200-0355
  • Fax: 973-200-0355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number043694-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: