FARIBA SHARIFAN DMD - NPI 1619031374

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Fariba Sharifan Dmd NPPES

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

FARIBA SHARIFAN DMD (NPI 1619031374) is an individual general practice provider in Newark, New Jersey, licensed in New Jersey (22DI02029500) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1619031374

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameFARIBA SHARIFANCredential: DMD

Location Address639 MOUNT PROSPECT AVENewark, NJ 07104-3109

Mailing Address639 Mount Prospect AveNewark, NJ 07104-3109 · (973) 481-3900 · Fax (973) 481-2999

Phone(973) 481-3900

Fax(973) 481-2999

Sole ProprietorYes

Enumeration DateDecember 20, 2006

Last NPPES UpdateSeptember 14, 2012

✔ NPI 1619031374 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 · 22DI02029500

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.

639 MOUNT PROSPECT AVE, Newark, NJ 07104

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Other Identifiers 2

Medicaid0110221NJ

Medicaid7943601NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›