# IVY HILL DENTAL CENTER

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

## Provider details

- **NPI number:** 1699275594
- **Authorized official:** DR. TONYA X. COOK DMD, MPH (PRESIDENT)
- **Authorized official phone:** (973) 374-5200

## Contact information

- **Practice address:** 679 IRVINGTON AVE, NEWARK, NJ 07106-3306
- **Practice address phone:** (973) 374-5200
- **Mailing address:** 679 IRVINGTON AVE, NEWARK, NJ 07106-3306
- **Mailing address phone:** (973) 374-5200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02036903 | NJ | Yes |

## Other

- **Enumeration date:** 02/16/2018
- **Last updated:** 02/16/2018