Herawati T Kandou Dds Pa
Orthodontics and Dentofacial Clinic
35 Jefferson Avenue, Elizabeth
New Jersey, 07201-2425
908-354-1188 908-352-7390
Maps & DirectionsHerawati T Kandou Dds Pa is a Orthodontics and Dentofacial 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 is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
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: | Orthodontics and Dentofacial Orthopedics |
| 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.
Comments/ Reviews:
Read all the reviews posted for Herawati T Kandou Dds Pa below. You may also share your own experience with Herawati T Kandou Dds Pa. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.