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NPI Code Detail

MEDICARE: MS. ALEXANDRA GLANTS D.D.S

MEDICARE: MS. ALEXANDRA GLANTS D.D.S
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
1122300000XDentist22421NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780675694
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALEXANDRA GLANTS D.D.S
Provider Business Mailing Address
First Line : 7-24 OAK ST
Second Line :
City : FAIR LAWN
State : NJ
Zip : 07410-1533
Country : US
Telephone Number : 201-887-8373
Fax Number :
Provider Business Practice Location Address
First Line : 251 CLIFTON AVE
Second Line :
City : CLIFTON
State : NJ
Zip : 07011-1961
Country : US
Telephone Number : 973-478-1714
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 07/09/2007

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