# N N GANDHI DDS LLC

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

## Provider details

- **NPI number:** 1699072777
- **Authorized official:** DR. NARESHKUMAR N GANDHI D.D.S (OWNER)
- **Authorized official phone:** (201) 866-0993

## Contact information

- **Practice address:** 5005 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5563
- **Practice address phone:** (201) 866-0993
- **Practice address fax:** (201) 866-7707
- **Mailing address:** 5005 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5563
- **Mailing address phone:** (201) 866-0993
- **Mailing address fax:** (201) 866-7707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DI017832 | NJ | Yes |

## Other

- **Enumeration date:** 02/25/2011
- **Last updated:** 02/25/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4593600 | — | NJ |