Herawati T Kandou Dds Pa is a Dental Clinic in Elizabeth, New Jersey. It is located at 35 Jefferson Avenue, Elizabeth, NJ and its contact number is 908-354-1188. The authorized person for Herawati T Kandou Dds Pa is Dr. Herawati T Kandou
who is President Orthodontist of the clinic and their contact number is 908-354-1188. The primary license number for Herawati T Kandou Dds Pa is 9708 (Dentist) in New Jersey. Herawati T Kandou Dds Pa Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Herawati T Kandou Dds Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Herawati T Kandou Dds Pa
Specialization:
Dentistry
Clinic Address:
35 Jefferson Avenue, Elizabeth, New Jersey, 07201-2425
Phone:
908-354-1188
Fax:
908-352-7390
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Herawati T Kandou
Position:
President Orthodontist
Contact Number:
908-354-1188
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Herawati T Kandou Dds Pa clinic are as mentioned below.
NPI Number:
1871666586
NPI Enumeration Date:
17 Nov, 2006
NPI Last Update On:
30 May, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Herawati T Kandou Dds Pa are as mentioned below.
Specialization
License Number
State
Status
Dentist
9708
New Jersey
Primary
Orthodontics and Dentofacial Orthopedics
3026
New Jersey
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
314120901
Medicaid
New Jersey
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Herawati T Kandou Dds Pa 35 Jefferson Avenue, Elizabeth, New Jersey
Zip:
07201-2425
Phone Number:
908-354-1188
Fax Number:
908-352-7390
Patients can reach Herawati T Kandou Dds Pa at 35 Jefferson Avenue, Elizabeth, New Jersey or can call to book an appointment on 908-354-1188. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.