HERAWATI T KANDOU DDS PA
NPI 1871666586
Dentist in Elizabeth, NJ

Q: What is Herawati T Kandou Dds PA's NPI number?

The NPI number for Herawati T Kandou Dds PA is 1871666586. It was assigned to this organization in the NPPES registry on November 17, 2006.

Q: What is Herawati T Kandou Dds PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since November 17, 2006

35 JEFFERSON AVENUE, ELIZABETH, NJ 07201(908) 354-1188(908) 352-7390 Get Directions Write a Review

NPPES record last updated: May 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Herawati T Kandou Dds Pa NPPES

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

HERAWATI T KANDOU DDS PA (NPI 1871666586) is a healthcare organization registered as a dentist in Elizabeth, New Jersey and active in the NPI registry since November 2006. The organization lists Herawati T Kandou, President Orthodontist, as its authorized official.

NPPES Registry Identity

NPI1871666586

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameHERAWATI T KANDOU DDS PA

Location Address35 JEFFERSON AVENUEElizabeth, NJ 07201-2425

Mailing Address35 Jefferson AvenueElizabeth, NJ 07201-2425 · (908) 354-1188 · Fax (908) 352-7390

Phone(908) 354-1188

Fax(908) 352-7390

Organization SubpartNo

Authorized OfficialHerawati T KandouPresident Orthodontist · (908) 354-1188

Enumeration DateNovember 17, 2006

Last NPPES UpdateMay 30, 2008

✔ NPI 1871666586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NJ · 9708

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 3026 (NJ)

35 JEFFERSON AVENUE, Elizabeth, NJ 07201

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Other Identifiers 1

Medicaid314120901NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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. HERAWATI TIRTADJAJA KANDOU DDS

Dentist

35 JEFFERSON AVENUE
ELIZABETH, NJ 07201

Union County (908) 354-1188

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 Herawati T Kandou Dds PA's NPI number?

The NPI number for Herawati T Kandou Dds PA is 1871666586. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Herawati T Kandou Dds PA located?

Herawati T Kandou Dds PA is located at 35 Jefferson Avenue, Elizabeth, NJ 07201. The listed phone number is (908) 354-1188.

What is Herawati T Kandou Dds PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Herawati T Kandou Dds PA was last updated on May 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.