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PREMIER ENDODONTICS
NPI 1629806583
Dentist - Endodontics in Englewood, NJ

Active since July 23, 2024
300 GRAND AVE STE 204, ENGLEWOOD, NJ 07631(201) 308-6911 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premier Endodontics NPPES

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

PREMIER ENDODONTICS (NPI 1629806583) is a healthcare organization registered as an endodontics in Englewood, New Jersey and active in the NPI registry since July 2024. The organization lists Joon Park, Owner/endodontist, as its authorized official.

NPPES Registry Identity

NPI1629806583
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NamePREMIER ENDODONTICS
Location Address300 GRAND AVE STE 204Englewood, NJ 07631-6300
Mailing Address300 Grand Ave Ste 204Englewood, NJ 07631-6300 · (201) 308-6911
Phone(201) 308-6911
Organization SubpartNo
Authorized OfficialJoon ParkOwner/endodontist · (443) 465-4065
Enumeration DateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
✔ NPI 1629806583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
300 GRAND AVE STE 204, Englewood, NJ 07631
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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

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 Premier Endodontics's NPI number?

The NPI number for Premier Endodontics is 1629806583. It was assigned to this organization in the NPPES registry on July 23, 2024.

Where is Premier Endodontics located?

Premier Endodontics is located at 300 Grand Ave Ste 204, Englewood, NJ 07631. The listed phone number is (201) 308-6911.

What is Premier Endodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Premier Endodontics was last updated on July 23, 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.