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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EASTERN DENTAL OF ELMWOOD PARK, LLC
NPI 1013833284
Dentist - General Practice in Elmwood Park, NJ

Active since June 24, 2026
100 BROADWAY, ELMWOOD PARK, NJ 07407(732) 750-0707 Get Directions Write a Review

NPPES record added: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastern Dental Of Elmwood Park, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN DENTAL OF ELMWOOD PARK, LLC (NPI 1013833284) is a healthcare organization registered as a general practice in Elmwood Park, New Jersey and active in the NPI registry since June 2026. The organization lists Alex Petrik, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1013833284
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEASTERN DENTAL OF ELMWOOD PARK, LLC
Location Address100 BROADWAYElmwood Park, NJ 07407-3025
Mailing Address510 Thornall St Ste 230Edison, NJ 08837-2204
Phone(732) 750-0707
Organization SubpartNo
Authorized OfficialAlex PetrikGeneral Counsel · (248) 756-6738
Enumeration DateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1013833284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
100 BROADWAY, Elmwood Park, NJ 07407
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS NIMISHA S SOLANKI
Pharmacist
100 BROADWAY
ELMWOOD PARK, NJ 07407
Bergen County (201) 796-0204
WYLMAAN WHITE
Pharmacy Technician
100 BROADWAY
ELMWOOD PARK, NJ 07407
Bergen County (201) 796-0204
TEJAL PATEL
Pharmacist
100 BROADWAY
ELMWOOD PARK, NJ 07407
Bergen County (201) 796-0204
KELLY VUONG
Pharmacist
100 BROADWAY
ELMWOOD PARK, NJ 07407
Bergen County (201) 796-0204
KAJAL PATEL PHARM. D.
Pharmacist
100 BROADWAY
ELMWOOD PARK, NJ 07407
Bergen County (201) 796-0204
KATIE HOANG PHARMD
Pharmacist
100 BROADWAY
ELMWOOD PARK, NJ 07407
Bergen County (201) 796-0204
ARLENE DEL ROSARIO PHARMD
Pharmacist
100 BROADWAY
ELMWOOD PARK, NJ 07407
Bergen County (201) 796-0204
DR. SHALIN PATEL PHARM. D
Pharmacist
100 BROADWAY, WALGREEN CO.
ELMWOOD PARK, NJ 07407
Bergen County (201) 796-0204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern Dental Of Elmwood Park, LLC's NPI number?

The NPI number for Eastern Dental Of Elmwood Park, LLC is 1013833284. It was assigned to this organization in the NPPES registry on June 24, 2026.

Where is Eastern Dental Of Elmwood Park, LLC located?

Eastern Dental Of Elmwood Park, LLC is located at 100 Broadway, Elmwood Park, NJ 07407. The listed phone number is (732) 750-0707.

What is Eastern Dental Of Elmwood Park, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Eastern Dental Of Elmwood Park, LLC was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.