Individual provider · Type 1 NPI
Jose Agustin Ravelo, DDS
General Practice Dentistry · West New York, NJ
NPI number
1487601613
Active
Practice location
5620 Bergenline Ave Ste 2
West New York, NJ 07093-1257
Fax (201) 861-9199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 046379-1 (NY) |
| General Practice Dentistry Primary | 1223G0001X | DI20448 (NJ) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1487601613
Jose Agustin Ravelo, DDS's National Provider Identifier is 1487601613, issued on May 31, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in West New York, NJ. The record was last updated on Jul 26, 2019.