Jonathan Odinsky

General Practice Dentistry · Fort Lee, NJ

Individual Active NPI

NPI number 1326504564

Practice location

327 Bridge PLZ N
Fort Lee, NJ 07024-5051
Phone
(201) 429-0097

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NPI record

NPI
1326504564
Entity type
Individual (Type 1)
Enumeration date
February 12, 2019
Last updated
January 29, 2024
Certified
January 29, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 22D102956200 NJ
Student in an Organized Health Care Education/Training Program 390200000X — —
General Practice Dentistry 1223G0001X 061623-01 NY

Mailing address

415 Madison Ave
West Hempstead, NY 11552-2352

Other practice locations (2)

  • 809 NY-208, Monroe, NY 10950 · (516) 509-0360
  • 27005 76th Ave, New Hyde Park, NY 11040-1402 · (718) 470-3076

About Jonathan Odinsky

Jonathan Odinsky is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 327 Bridge PLZ N, Fort Lee, NJ 07024-5051. The NPI number 1326504564 was assigned on February 12, 2019 and the record was last updated on January 29, 2024.

Jonathan Odinsky lists 2 licenses in the registry: #22D102956200 (NJ) for General Practice Dentistry; #061623-01 (NY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Odinsky?

The NPI number is 1326504564.

What is the phone number of Jonathan Odinsky?

The phone number listed for the practice location is (201) 429-0097.

Where is Jonathan Odinsky located?

327 Bridge PLZ N, Fort Lee, NJ 07024-5051.

What is the taxonomy code for Jonathan Odinsky?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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