ADVACED DENTAL ASSOCIATES OF SOUTH ORANGE
NPI 1386773844
Dentist - General Practice in South Orange, NJ

Active since March 02, 2007
45 PROSPECT ST, SOUTH ORANGE, NJ 07079(973) 763-2940(973) 763-0906 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advaced Dental Associates Of South Orange NPPES

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

ADVACED DENTAL ASSOCIATES OF SOUTH ORANGE (NPI 1386773844) is a healthcare organization registered as a general practice in South Orange, New Jersey and active in the NPI registry since March 2007. The organization lists Steven Koretzky, Vice President, as its authorized official.

NPPES Registry Identity

NPI1386773844
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameADVACED DENTAL ASSOCIATES OF SOUTH ORANGE
Location Address45 PROSPECT STSouth Orange, NJ 07079-2100
Mailing Address41 Wyckoff DrPittstown, NJ 08867-4235 · (973) 763-2940 · Fax (973) 763-0906
Fax(973) 763-0906
Organization SubpartNo
Authorized OfficialSteven KoretzkyVice President · (973) 763-2940
Enumeration DateMarch 2, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1386773844 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 · 22DI01951600
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.
45 PROSPECT ST, South Orange, NJ 07079

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 2

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

Dentist (General Practice)
45 PROSPECT ST
SOUTH ORANGE, NJ 07079
Dentist (General Practice)
45 PROSPECT ST
SOUTH ORANGE, NJ 07079

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 Advaced Dental Associates Of South Orange's NPI number?

The NPI number for Advaced Dental Associates Of South Orange is 1386773844. It was assigned to this organization in the NPPES registry on March 2, 2007.

Where is Advaced Dental Associates Of South Orange located?

Advaced Dental Associates Of South Orange is located at 45 Prospect St, South Orange, NJ 07079. The listed phone number is (973) 763-2940.

What is Advaced Dental Associates Of South Orange'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 Advaced Dental Associates Of South Orange was last updated on August 22, 2020. 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.