RENAISSANCE DENTAL GROUP, PC – NPI #1073725248
Clinic/Center

RENAISSANCE DENTAL GROUP, PC is an AHC clinic located in CLIFFSIDE PARK, NJ. NPPES has assigned the NPI number 1073725248 to RENAISSANCE DENTAL GROUP, PC on May 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 2 years ago on May 08, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RENAISSANCE DENTAL GROUP, PC below.

NPI Profile for
RENAISSANCE DENTAL GROUP, PC

NPI Number
1073725248
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RENAISSANCE DENTAL GROUP, PC
Primary location
596 ANDERSON AVE
SUITE# 206A
CLIFFSIDE PARK, NJ 07010
Phone: (201) 840-7777 Fax: (201) 840-0377
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANITA SHULMAN
PRESIDENT
Phone: (201) 840-7777
Updated
Certification Date
May 08, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)
1223G0001X
- Dentist / General Practice

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.