Organization · Type 2 NPI

Advanced Dental Anesthesia Services

Dental Anesthesiology · Tappan, NY

NPI number 1023479359 Active

Practice location

111 Route 303, Suite 220
Tappan, NY 10983-2133

Mailing address

48 Bi State Plz # 268
Old Tappan, NJ 07675-7003

Specialties and licenses

TaxonomyCodeLicense
Dental Anesthesiology Primary 1223D0004XD102532800 (NJ)

Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

Another provider at this address

About NPI 1023479359

Advanced Dental Anesthesia Services's National Provider Identifier is 1023479359, issued on Mar 15, 2016. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Tappan, NY. The record was last updated on Mar 15, 2016.