RIDGEWOOD DENTAL ASSOCIATES, LLC
NPI 1285966267
Dentist - Prosthodontics in Ridgewood, NJ

Active since February 02, 2010CLIA 31D2183134 · Waiver
166 FRANKLIN AVE, RIDGEWOOD, NJ 07450(201) 652-2474(201) 652-7916 Get Directions Write a Review

NPPES record last updated: February 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ridgewood Dental Associates, Llc NPPES

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

RIDGEWOOD DENTAL ASSOCIATES, LLC (NPI 1285966267) is a healthcare organization registered as a prosthodontics in Ridgewood, New Jersey and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Jin Ha Joung, Member, as its authorized official.

NPPES Registry Identity

NPI1285966267
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameRIDGEWOOD DENTAL ASSOCIATES, LLC
Location Address166 FRANKLIN AVERidgewood, NJ 07450-3206
Mailing Address166 Franklin AveRidgewood, NJ 07450-3206 · (201) 652-2474 · Fax (201) 652-7916
Fax(201) 652-7916
Organization SubpartNo
Authorized OfficialJin Ha JoungMember · (201) 652-2474
Enumeration DateFebruary 2, 2010
NPI 1285966267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License Licensed in NJ · 22DI02373200
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 22DI02373100 (NJ)
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License 22DI02373200 (NJ)
166 FRANKLIN AVE, Ridgewood, NJ 07450

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2183134

Ridgewood Dental Associates · Ridgewood, NJ
Active · expires Apr 29, 2028
CLIA Number31D2183134
Laboratory TypePractitioner Other
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorJin Ha Joung
Laboratory Phone(201) 652-2474
Laboratory LocationRidgewood Dental Associates166 Franklin Avenue, Ridgewood, NJ 07450
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
166 FRANKLIN AVE
RIDGEWOOD, NJ 07450
Dentist (Prosthodontics)
166 FRANKLIN AVE
RIDGEWOOD, NJ 07450

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 Ridgewood Dental Associates, LLC's NPI number?

The NPI number for Ridgewood Dental Associates, LLC is 1285966267. It was assigned to this organization in the NPPES registry on February 2, 2010.

Where is Ridgewood Dental Associates, LLC located?

Ridgewood Dental Associates, LLC is located at 166 Franklin Ave, Ridgewood, NJ 07450. The listed phone number is (201) 652-2474.

What is Ridgewood Dental Associates, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Does Ridgewood Dental Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2183134) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ridgewood Dental Associates, LLC was last updated on February 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.