MOBILE DENTAL PRACTICE, PC
NPI 1235311028
Dentist - General Practice in Wyckoff, NJ

Active since December 03, 2007
800 WYCKOFF AVE, SUITE 103, WYCKOFF, NJ 07481(201) 891-4700(201) 891-4943 Get Directions Write a Review

NPPES record last updated: December 3, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mobile Dental Practice, Pc NPPES

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

MOBILE DENTAL PRACTICE, PC (NPI 1235311028) is a healthcare organization registered as a general practice in Wyckoff, New Jersey and active in the NPI registry since December 2007. The organization lists Stephen A Beukas, President, as its authorized official.

NPPES Registry Identity

NPI1235311028
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMOBILE DENTAL PRACTICE, PC
Location Address800 WYCKOFF AVE, SUITE 103Wyckoff, NJ 07481-1525
Mailing Address800 Wyckoff Ave, Suite 103Wyckoff, NJ 07481-1525 · (201) 891-4700 · Fax (201) 891-4943
Fax(201) 891-4943
Organization SubpartNo
Authorized OfficialStephen A BeukasPresident · (201) 891-4700
Enumeration DateDecember 3, 2007
NPI 1235311028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NJ · DI018346
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.
800 WYCKOFF AVE, Wyckoff, NJ 07481

Other Identifiers 1

Medicaid0090911NJ

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

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

Dentist (General Practice)
800 WYCKOFF AVE, SUITE 103
WYCKOFF, NJ 07481

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 Mobile Dental Practice, PC's NPI number?

The NPI number for Mobile Dental Practice, PC is 1235311028. It was assigned to this organization in the NPPES registry on December 3, 2007.

Where is Mobile Dental Practice, PC located?

Mobile Dental Practice, PC is located at 800 Wyckoff Ave Suite 103, Wyckoff, NJ 07481. The listed phone number is (201) 891-4700.

What is Mobile Dental Practice, PC'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 Mobile Dental Practice, PC was last updated on December 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.