Willowbrook Mall Dental, Pa is a Dental Clinic in Wayne, New Jersey. It is located at 1445 Willowbrook Blvd, Wayne, NJ and its contact number is 973-812-4426. The authorized person for Willowbrook Mall Dental, Pa is Dr. Alexander Mikhailov
who is Owner of the clinic and their contact number is 973-812-4266. The primary license number for Willowbrook Mall Dental, Pa is 19779 (General Practice) in New Jersey.
Willowbrook Mall Dental, Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Willowbrook Mall Dental, Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Willowbrook Mall Dental, Pa |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1445 Willowbrook Blvd, Wayne,
New Jersey, 07470 |
| Phone: | 973-812-4426 |
| Fax: | 973-812-4405 |
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. Alexander Mikhailov |
| Position: | Owner |
| Contact Number: | 973-812-4266 |
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 Willowbrook Mall Dental, Pa clinic are as mentioned below.
| NPI Number: | 1174685713 |
| NPI Enumeration Date: | 13 Dec, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Willowbrook Mall Dental, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 19779 | New Jersey | Primary | |
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 |
| 8345201 | 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: | Willowbrook Mall Dental, Pa
1445 Willowbrook Blvd,
Wayne, New Jersey |
| Zip: | 07470 |
| Phone Number: | -- |
| Fax Number: | -- |
Patients can reach Willowbrook Mall Dental, Pa at
1445 Willowbrook Blvd, Wayne, New Jersey or can
call to book an appointment on 973-812-4426.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.