NPI Code Details Logo

NPI 1629823414

NPI 1629823414 : DEEMA TAMIMI DDS : NORTH BERGEN, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1629823414
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DEEMA TAMIMI DDS
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/23/2024
-----------------------------------------------------
    Last Update Date     |    10/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8407 KENNEDY BLVD 
-----------------------------------------------------
    City                 |    NORTH BERGEN
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07047-4338
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    201-868-2747
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    10 LIBERTY RIDGE TRAIL 
-----------------------------------------------------
    City                 |    TOTOWA
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07512
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    732-939-9513
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    122300000X
-----------------------------------------------------
    Taxonomy Name        |    Dentist
-----------------------------------------------------
    License Number       |    22DI03087800
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.