# PARK AVENUE DENTAL OF NJ

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

## Provider details

- **NPI number:** 1932119211
- **Authorized official:** DR. KIRK A KALOGIANNIS D.M.D. (PRESIDENT/DENTIST)
- **Authorized official phone:** (201) 507-5000

## Contact information

- **Practice address:** 155 PARK AVE, SUITE 207, LYNDHURST, NJ 07071-1462
- **Practice address phone:** (201) 507-5000
- **Practice address fax:** (201) 507-5141
- **Mailing address:** 155 PARK AVE, SUITE 207, LYNDHURST, NJ 07071-1462
- **Mailing address phone:** (201) 507-5000
- **Mailing address fax:** (201) 507-5141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DI-18230 | NJ | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 08/22/2020