# ADVANCED DENTAL GROUP, INC.

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

## Provider details

- **NPI number:** 1821145202
- **Authorized official:** DR. NIMA M PATEL DMD (PRESIDENT)
- **Authorized official phone:** (732) 661-0011

## Contact information

- **Practice address:** 629 AMBOY AVE STE 3, EDISON, NJ 08837-3579
- **Practice address phone:** (732) 661-0011
- **Practice address fax:** (732) 661-1335
- **Mailing address:** 629 AMBOY AVE STE 3, EDISON, NJ 08837-3579
- **Mailing address phone:** (732) 661-0011
- **Mailing address fax:** (732) 661-1335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02245600 | NJ | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 08/22/2020