CLINTON HILL DENTAL ASSOC
NPI 1407989254
Clinic/Center - Dental in Newark, NJ

Active since March 13, 2007
804 CINTON AVE, NEWARK, NJ 07108(973) 374-5200(973) 374-5609 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About CLINTON HILL DENTAL ASSOC

This page provides the complete NPI Profile along with additional information for Clinton Hill Dental Assoc, a provider established in Newark, New Jersey operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1407989254 assigned on March 2007. The practitioner's primary taxonomy code is 261QD0000X with license number 2108128 (NJ). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Theodore Davis Dds (Dentist)

NPI
1407989254 Verify this NPI
Provider Name
CLINTON HILL DENTAL ASSOC
Entity Type
Organization
Location Address
804 CINTON AVE NEWARK, NJ 07108
Location Phone
(973) 374-5200
Location Fax
(973) 374-5609
Mailing Address
804 CINTON AVE NEWARK, NJ 07108
Mailing Phone
(973) 374-5200
Mailing Fax
(973) 374-5609
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-13-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
2108128
License State
NJ

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. THEODORE DAVIS DDS

Authorized Official Title
DENTIST
Authorized Official Phone
(973) 374-5200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3414507MEDICAID (05)NJ 

Reviews for CLINTON HILL DENTAL ASSOC

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407989254, enumerated as an "organization" on March 13, 2007.

The provider is located at 804 CINTON AVE NEWARK, NJ 07108 and the phone number is (973) 374-5200.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.