Organization
EXCEL DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRA MODESTO-GARRIDO D.D.S. (DENTIST)
(201) 652-0400
Entity
Organization
Contact information
Practice address
266 HARRISTOWN RD, SUITE 102, GLEN ROCK, NJ 07452-3302
(201) 652-0400
(201) 447-5762
Mailing address
266 HARRISTOWN RD, SUITE 102, GLEN ROCK, NJ 07452-3302
(201) 652-0400
(201) 447-5762
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01825501
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066028
—
NJ
05
—
6037704
—
NJ
01
—
898217
UNITED CONCORDIA
NJ
Enumeration date
12/15/2006
Last updated
02/12/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us