# ALL AMERICAN DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063522456
- **Authorized official:** MR. ALEKSEY NOVAKHOV DDS (OWNER)
- **Authorized official phone:** (908) 353-5400

## Contact information

- **Practice address:** 14 WEST WINFIELD SCOTT PLZ, ELIZABETH, NJ 07201
- **Practice address phone:** (908) 353-5400
- **Practice address fax:** (908) 353-7273
- **Mailing address:** 14 WEST WINFIELD SCOTT PLZ, ELIZABETH, NJ 07201
- **Mailing address phone:** (908) 353-5400
- **Mailing address fax:** (908) 353-7273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22D102059900 | NJ | — |
| 1223G0001X | General Practice Dentistry | 22D102233400 | NJ | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/22/2020

## 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 |