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NPI Code Detail

MEDICARE: MK DDS ELIZABETH PC

MEDICARE: MK DDS ELIZABETH PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1366300592
Entity Type Code : Organization
Provider Name (Legal Business Name) : MK DDS ELIZABETH PC
Provider Business Mailing Address
First Line : 500 WESTFIELD AVE
Second Line :
City : ELIZABETH
State : NJ
Zip : 07208-1642
Country : US
Telephone Number : 908-490-7400
Fax Number : 908-248-0719
Provider Business Practice Location Address
First Line : 500 WESTFIELD AVE
Second Line :
City : ELIZABETH
State : NJ
Zip : 07208-1642
Country : US
Telephone Number : 908-490-7400
Fax Number : 908-248-0719
Authorized Official
Title or Position : OWNER
Name : MANREET KAUR
Credential : DDS
Telephone Number : 908-490-7400
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “MK DDS ELIZABETH PC ” Practice Location

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