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Alta Dental LLC — NPI 1508698556, Teaneck, NJ | NPI Central

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OrganizationActive

Alta Dental LLC

NPI 1508698556 · Dental Clinic/Center · Teaneck, NJ

Provider details

NPI number: 1508698556
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Altay Khanmamedov, Owner/Provider(917) 881-5977

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

901 Teaneck Rd Fl 2n

Teaneck, NJ 07666-4511

Phone: (201) 837-2727

Approximate (ZIP-level) locationGet directions

More NJ providers

Mailing address

901 Teaneck Rd Fl 2n

Teaneck, NJ 07666-4511

Other names (DBA / former)

Doing business as: Alta Dental LLC

Registry dates

Enumerated: 2024-08-19
Last updated: 2024-08-19
Certified: 2024-08-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.