IndividualActive
Laurie Addvensky, D.M.D.
NPI 1003027160 · Dentist · Ridgewood, NJ
Provider details
- NPI number
- 1003027160
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- DIO17413 (NJ)
Specialties & taxonomies
Dental Providers
Practice location
79 W Ridgewood Ave
Ridgewood, NJ 07450-3142
Phone: (201) 652-0060
Fax: (201) 652-7687
Approximate (ZIP-level) locationGet directions
Mailing address
79 W Ridgewood Ave
Ridgewood, NJ 07450-3142
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.