OrganizationActive
Glen Ridge Cosmetic and Family Dentistry
NPI 1083880819 · Dentist · Glen Ridge, NJ
Glen Ridge Cosmetic and Family Dentistry is a Dentist organization in Glen Ridge, NJ (NPI 1083880819).
Provider details
- NPI number
- 1083880819
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Louis Theodorou, Owner(973) 743-6092
- License
- 21675 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
89 Glen Ridge Ave
Glen Ridge, NJ 07028-1413
Phone: (973) 743-6092
Street-level locationGet directions
Mailing address
89 Glen Ridge Ave
Glen Ridge, NJ 07028-1413
Registry dates
- Enumerated
- 2008-05-01
- Last updated
- 2008-05-01
Frequently asked questions
- What is Glen Ridge Cosmetic and Family Dentistry's NPI number?
- Glen Ridge Cosmetic and Family Dentistry's National Provider Identifier (NPI) is 1083880819, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glen Ridge Cosmetic and Family Dentistry?
- Glen Ridge Cosmetic and Family Dentistry is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Glen Ridge Cosmetic and Family Dentistry located?
- Glen Ridge Cosmetic and Family Dentistry's practice location on file with NPPES is 89 Glen Ridge Ave, Glen Ridge, NJ 07028-1413.
- What is Glen Ridge Cosmetic and Family Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Glen Ridge Cosmetic and Family Dentistry is (973) 743-6092.
- Who is the authorized official for Glen Ridge Cosmetic and Family Dentistry?
- The authorized official listed on Glen Ridge Cosmetic and Family Dentistry's NPPES record is Louis Theodorou, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glen Ridge Cosmetic and Family Dentistry's NPI active?
- Yes — Glen Ridge Cosmetic and Family Dentistry's NPI (1083880819) is active in the NPPES registry as of the last update on 2008-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.