OrganizationActive
American Dental Group LLC
NPI 1386940096 · General Practice Dentistry · Elizabeth, NJ
Provider details
- NPI number
- 1386940096
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Othmane Seddiki, Owner(908) 353-5400
- License
- 22DI02386200 (NJ)
Specialties & taxonomies
Dental Providers
Practice location
14 Winfield Scott Plz
Elizabeth, NJ 07201-2443
Phone: (908) 353-5400
Fax: (908) 353-7273
Approximate (ZIP-level) locationGet directions
Mailing address
14 Winfield Scott Plz
Elizabeth, NJ 07201-2443
Registry dates
- Enumerated
- 2011-01-28
- Last updated
- 2011-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.