SOUTH AVENUE DENTAL GROUP
NPI 1285204347
Clinic/Center - Dental in Cranford, NJ

Active since June 30, 2021
104 SOUTH AVE E, CRANFORD, NJ 07016(203) 889-5379 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Avenue Dental Group NPPES

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

SOUTH AVENUE DENTAL GROUP (NPI 1285204347), doing business as South Avenue Dental, is a healthcare organization registered as a dental in Cranford, New Jersey and active in the NPI registry since June 2021. The organization lists Lajja Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1285204347
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSOUTH AVENUE DENTAL GROUP
Location Address104 SOUTH AVE ECranford, NJ 07016-2944
Mailing Address1106 Grandview AveWestfield, NJ 07090-1661 · (646) 483-8824
Organization SubpartNo
Authorized OfficialLajja PatelOwner · (203) 889-5379
Enumeration DateJune 30, 2021
NPPES CertifiedJune 30, 2021
NPI 1285204347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
104 SOUTH AVE E, Cranford, NJ 07016

Other Names 1

Doing Business AsSouth Avenue Dental

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 South Avenue Dental Group's NPI number?

The NPI number for South Avenue Dental Group is 1285204347. It was assigned to this organization in the NPPES registry on June 30, 2021. The provider is doing business as South Avenue Dental.

Where is South Avenue Dental Group located?

South Avenue Dental Group is located at 104 South Ave E, Cranford, NJ 07016. The listed phone number is (203) 889-5379.

What is South Avenue Dental Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for South Avenue Dental Group was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.