OrganizationActive
Advanced Dental
NPI 1164747457 · Dental Clinic/Center · Newark, NJ
Provider details
- NPI number
- 1164747457
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Miguel Pou, Partner(973) 485-8989
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
735 Mount Prospect Ave
Newark, NJ 07104-3111
Phone: (973) 485-8989
Fax: (973) 485-8909
Approximate (ZIP-level) locationGet directions
Mailing address
735 Mount Prospect Ave
Newark, NJ 07104-3111
Registry dates
- Enumerated
- 2010-03-30
- Last updated
- 2010-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.