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DR. HERAWATI TIRTADJAJA KANDOU DDS
NPI 1023246105
Dentist in Elizabeth, NJ

Active since June 26, 2009
35 JEFFERSON AVENUE, ELIZABETH, NJ 07201(908) 354-1188(908) 352-7390 Get Directions Write a Review

NPPES record last updated: June 26, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Herawati Tirtadjaja Kandou Dds NPPES

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

DR. HERAWATI TIRTADJAJA KANDOU DDS (NPI 1023246105) is an individual dentist in Elizabeth, New Jersey, licensed in New Jersey (9708) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1023246105
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. HERAWATI TIRTADJAJA KANDOUCredential: DDS
Location Address35 JEFFERSON AVENUEElizabeth, NJ 07201-2425
Mailing Address35 Jefferson AvenueElizabeth, NJ 07201-2425 · (908) 354-1188 · Fax (908) 352-7390
Phone(908) 354-1188
Fax(908) 352-7390
Sole ProprietorNo
Enumeration DateJune 26, 2009
✔ NPI 1023246105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NJ · 9708
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 3026 (NJ)
35 JEFFERSON AVENUE, Elizabeth, NJ 07201
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Other Identifiers 1

Medicaid3141209-01NJ

Other Providers at the Same Location NPPES

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

HERAWATI T KANDOU DDS PA
Dentist
35 JEFFERSON AVENUE
ELIZABETH, NJ 07201
Union County (908) 354-1188

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 Herawati Kandou's NPI number?

The NPI number for Herawati Kandou is 1023246105. It was assigned to this individual provider in the NPPES registry on June 26, 2009.

Where is Herawati Kandou located?

Herawati Kandou practices at 35 Jefferson Avenue, Elizabeth, NJ 07201. The listed phone number is (908) 354-1188.

What is Herawati Kandou's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Herawati Kandou was last updated on June 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.