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:
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Fax Number:
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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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.