Provider Demographics
NPI:1285897041
Name:A-1 DENTAL OF EDISON, INC.
Entity type:Organization
Organization Name:A-1 DENTAL OF EDISON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:BHAVI
Authorized Official - Middle Name:
Authorized Official - Last Name:BHAGIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-650-9999
Mailing Address - Street 1:253 TALMADGE RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2833
Mailing Address - Country:US
Mailing Address - Phone:732-650-9999
Mailing Address - Fax:
Practice Address - Street 1:253 TALMADGE RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2833
Practice Address - Country:US
Practice Address - Phone:732-650-9999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI022953001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty