MEDICARE: DENTAL WORLD LLC

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
1	1223E0200X	Endodontics

General Provider Information

NPI Number	:	1689138349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL WORLD LLC

Provider Business Mailing Address
First Line	:	140 LOZIER TER
Second Line	:
City	:	RIVER EDGE
State	:	NJ
Zip	:	07661-1709
Country	:	US
Telephone Number	:	954-816-9280
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 48TH ST
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-6439
Country	:	US
Telephone Number	:	954-816-9280
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KHIMIYA PARYANI
Credential	:	DMD
Telephone Number	:	954-816-9280

Provider Enumeration Date	:	01/28/2019
Last Update Date	:	01/28/2019

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Directions to “DENTAL WORLD LLC ” Practice Location

Language	Start Address	Practice Location

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