# NJ ENDODONTICS GROUP BLOOMFIELD LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTH JERSEY ENDODONTIC GROUP LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376226308
- **Legal business name:** NORTH JERSEY ENDODONTIC GROUP LLC
- **Authorized official:** DR. NASSIM KOHLY DDS (PARTNER)
- **Authorized official phone:** (201) 484-5404

## Contact information

- **Practice address:** 554 BLOOMFIELD AVE, BLOOMFIELD, NJ 07003-3307
- **Practice address phone:** (973) 281-4184
- **Mailing address:** 22 OLD SHORT HILLS RD STE 208, LIVINGSTON, NJ 07039-5605
- **Mailing address phone:** (973) 743-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2023
- **Last updated:** 08/08/2023