BLOSSOM SMILES DENTAL ASSOCIATION LLC
NPI 1407686660
Dentist - General Practice in Lyndhurst, NJ

Q: What is Blossom Smiles Dental Association LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since August 02, 2024

134 RIDGE RD, LYNDHURST, NJ 07071(973) 337-7444 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Blossom Smiles Dental Association Llc NPPES

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

BLOSSOM SMILES DENTAL ASSOCIATION LLC (NPI 1407686660) is a healthcare organization registered as a general practice in Lyndhurst, New Jersey and active in the NPI registry since August 2024. The organization lists Rola Owies, Owner, as its authorized official.

NPPES Registry Identity

NPI1407686660

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBLOSSOM SMILES DENTAL ASSOCIATION LLC

Location Address134 RIDGE RDLyndhurst, NJ 07071-1244

Mailing Address19 Marlo RdWayne, NJ 07470-6034 · (973) 337-7444

Phone(973) 337-7444

Organization SubpartNo

Authorized OfficialRola OwiesOwner · (973) 337-7444

Enumeration DateAugust 2, 2024

NPPES CertifiedAugust 2, 2024

✔ NPI 1407686660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

134 RIDGE RD, Lyndhurst, NJ 07071

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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.

DR. JORGE YAMIL CARCAMO D.M.D

Dentist (General Practice)

134 RIDGE RD
LYNDHURST, NJ 07071

Bergen County (201) 933-1700

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 Blossom Smiles Dental Association LLC's NPI number?

The NPI number for Blossom Smiles Dental Association LLC is 1407686660. It was assigned to this organization in the NPPES registry on August 2, 2024.

Where is Blossom Smiles Dental Association LLC located?

Blossom Smiles Dental Association LLC is located at 134 Ridge Rd, Lyndhurst, NJ 07071. The listed phone number is (973) 337-7444.

What is Blossom Smiles Dental Association LLC'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 Blossom Smiles Dental Association LLC was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.