OrganizationActive
Willowbrook Mall Dental, PA
NPI 1174685713 · General Practice Dentistry · Wayne, NJ
Willowbrook Mall Dental, PA is a General Practice Dentistry organization in Wayne, NJ (NPI 1174685713).
Provider details
- NPI number
- 1174685713
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Alexander Mikhailov, Owner(973) 812-4266
- License
- 19779 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1445 Willowbrook Blvd
Wayne, NJ 07470
Phone: (973) 812-4426
Fax: (973) 812-4405
Street-level locationGet directions
Mailing address
1445 Willowbrook Blvd
Wayne, NJ 07470
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2020-08-22
Frequently asked questions
- What is Willowbrook Mall Dental, PA's NPI number?
- Willowbrook Mall Dental, PA's National Provider Identifier (NPI) is 1174685713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willowbrook Mall Dental, PA?
- Willowbrook Mall Dental, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Willowbrook Mall Dental, PA located?
- Willowbrook Mall Dental, PA's practice location on file with NPPES is 1445 Willowbrook Blvd, Wayne, NJ 07470.
- What is Willowbrook Mall Dental, PA's phone number?
- The practice phone number listed in the NPPES registry for Willowbrook Mall Dental, PA is (973) 812-4426.
- Who is the authorized official for Willowbrook Mall Dental, PA?
- The authorized official listed on Willowbrook Mall Dental, PA's NPPES record is Alexander Mikhailov, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willowbrook Mall Dental, PA's NPI active?
- Yes — Willowbrook Mall Dental, PA's NPI (1174685713) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.