# ALL CITY DENTAL SERVICES

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

## Provider details

- **NPI number:** 1487879128
- **Authorized official:** DR. FARIBA SHARIFAN (DENTIST)
- **Authorized official phone:** (973) 481-3900

## Contact information

- **Practice address:** 644 MT. PROSPECT AVE, NEWARK, NJ 07104
- **Practice address phone:** (973) 481-3900
- **Practice address fax:** (973) 481-2999
- **Mailing address:** 644 MT. PROSPECT AVE, NEWARK, NJ 07104
- **Mailing address phone:** (973) 481-3900
- **Mailing address fax:** (973) 481-2999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 20295 | NJ | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 011070 | DORAL DENTAL | NJ |
| 01 | — | 1101738 | NJ HEALTH | NJ |
| 05 | — | 3128903 | — | NJ |
| 05 | — | 7943601 | — | NJ |
| 01 | — | D0000031300 | AMERICHOICE | NJ |