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MONTCLAIR DENTAL SPA
NPI 1366008864
Dentist - General Practice in Montclair, NJ

Active since May 10, 2019
204 CLAREMONT AVE, MONTCLAIR, NJ 07042(973) 744-1527 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2019, May 10, 2019 (2 updates tracked since 2019).

About Montclair Dental Spa NPPES

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

MONTCLAIR DENTAL SPA (NPI 1366008864) is a healthcare organization registered as a general practice in Montclair, New Jersey and active in the NPI registry since May 2019. The organization lists Yousef Moussa, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1366008864
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMONTCLAIR DENTAL SPA
Location Address204 CLAREMONT AVEMontclair, NJ 07042-3409
Mailing Address204 Claremont AveMontclair, NJ 07042-3409
Phone(973) 744-1527
Organization SubpartNo
Authorized OfficialYousef MoussaOwner/dentist · (973) 744-1527
Enumeration DateMay 10, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
✔ NPI 1366008864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X
204 CLAREMONT AVE, Montclair, NJ 07042
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Other Identifiers 1

Other1588703052NJ · Nppes

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

Other Providers at the Same Location NPPES 3

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

MR. EDWARD W. WEIKERT LCSW
Social Worker (Clinical)
204 CLAREMONT AVE
MONTCLAIR, NJ 07042
Essex County (973) 746-0800
FAMILY SERVICE LEAGUE, INC.
Community/Behavioral Health
204 CLAREMONT AVE
MONTCLAIR, NJ 07042
Essex County (973) 746-0800
MS. PAULA C OCHS LCSW
Social Worker
204 CLAREMONT AVE
MONTCLAIR, NJ 07042
Essex County (973) 746-0800

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 Montclair Dental Spa's NPI number?

The NPI number for Montclair Dental Spa is 1366008864. It was assigned to this organization in the NPPES registry on May 10, 2019.

Where is Montclair Dental Spa located?

Montclair Dental Spa is located at 204 Claremont Ave, Montclair, NJ 07042. The listed phone number is (973) 744-1527.

What is Montclair Dental Spa'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 Montclair Dental Spa was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.