OrganizationActive
Next Best Level
NPI 1104246701 · Dental Clinic/Center · Bloomfield, NJ
Provider details
- NPI number
- 1104246701
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Yousef Moussa
- Organization subpart
- Yes
- Authorized official
- Yousef Moussa, Dentist(973) 338-9191
- License
- 22DI02294800 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1018 Broad St
Bloomfield, NJ 07003-2884
Phone: (973) 338-9191
Fax: (973) 338-1514
Street-level locationGet directions
Mailing address
1018 Broad St
Bloomfield, NJ 07003-2884
Registry dates
- Enumerated
- 2014-04-22
- Last updated
- 2014-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.