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Organization
ALL AMERICAN DENTAL PC
Active
Organization
ALL AMERICAN DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEKSEY NOVAKHOV DDS (OWNER)
(908) 353-5400
Entity
Organization
Contact information
Practice address
14 WEST WINFIELD SCOTT PLZ, ELIZABETH, NJ 07201
(908) 353-5400
(908) 353-7273
Mailing address
14 WEST WINFIELD SCOTT PLZ, ELIZABETH, NJ 07201
(908) 353-5400
(908) 353-7273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22D102059900
NJ
1223G0001X
General Practice Dentistry
Primary
22D102233400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000111700
AMERICHOICE
NJ
05
—
0020079
—
NJ
05
—
0030724
—
NJ
05
—
0084646
—
NJ
01
—
059900
DELTA NJ
NJ
01
—
103751
POKAL
NJ
01
—
1646362
UNITED CONCORDIA
NJ
01
—
60016392
HORIZON
NJ
01
—
900
DELTA FLAGSHIP
NJ
01
—
D0000129500
AMERICHOICE
NJ
Enumeration date
08/30/2006
Last updated
08/22/2020
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