# ALL AMERICAN DENTAL, P.C

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALL AMERICAN DENTAL, P.C
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649441742
- **Legal business name:** ALL AMERICAN DENTAL, P.C
- **Authorized official:** ALEKSEY NOVAKHOV (OWNER)
- **Authorized official phone:** (908) 353-5400

## Contact information

- **Practice address:** 1210 RAYMOND BLVD, NEWARK, NJ 07102-2903
- **Practice address phone:** (973) 645-0200
- **Mailing address:** 1210 RAYMOND BLVD, NEWARK, NJ 07102-2903
- **Mailing address phone:** (973) 645-0200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02059900 | NJ | Yes |

## Other

- **Enumeration date:** 03/17/2008
- **Last updated:** 03/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0020079 | — | NJ |
| 05 | — | 0030686 | — | NJ |
| 05 | — | 0119261 | — | NJ |
| 05 | — | 0146455 | — | NJ |