Healthcare Provider Details

I. General information

NPI: 1306534821
Provider Name (Legal Business Name): HAPPY DAYZ PEDIATRIC DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2023
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 STILLWELLS CORNER RD UNIT C-1
FREEHOLD NJ
07728-2965
US

IV. Provider business mailing address

95 LORING AVE
EDISON NJ
08817-4305
US

V. Phone/Fax

Practice location:
  • Phone: 732-780-3300
  • Fax:
Mailing address:
  • Phone: 609-432-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. BINNI PATEL
Title or Position: PART OWNER
Credential: DMD
Phone: 609-432-5500