OrganizationActive
Advanced Dental Anesthesia Services
NPI 1023479359 · Dental Anesthesiology · Tappan, NY
Provider details
- NPI number
- 1023479359
- Entity type
- Organization
- Primary specialty
- Dental AnesthesiologyDental Providers
- Authorized official
- Rosalie Mendia, Office Manager
- License
- D102532800 (NJ)
Mailing address
48 Bi State Plz # 268
Old Tappan, NJ 07675-7003
Registry dates
- Enumerated
- 2016-03-15
- Last updated
- 2016-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.