Healthcare Provider Details

I. General information

NPI: 1033722137
Provider Name (Legal Business Name): URBAN SMILES DENTAL P.A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2020
Last Update Date: 08/10/2023
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 PARK AVE
SCOTCH PLAINS NJ
07076-1040
US

IV. Provider business mailing address

21 ELM AVE
FANWOOD NJ
07023-1203
US

V. Phone/Fax

Practice location:
  • Phone: 908-533-9929
  • Fax: 908-533-9930
Mailing address:
  • Phone: 917-432-9555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. KAPIL KUNDRA
Title or Position: OWNER
Credential: DMD
Phone: 908-533-9929