A Beautiful Smile Dentistry, L.l.c. - Medicare Dental Clinic in Fort Lee, NJ

A Beautiful Smile Dentistry, L.l.c. is a medicare enrolled dental clinic (Dentist) in Fort Lee, New Jersey. The current practice location for A Beautiful Smile Dentistry, L.l.c. is 1315 Anderson Ave, Ste A, Fort Lee, New Jersey. For appointments, you can reach them via phone at (201) 224-4400. The mailing address for A Beautiful Smile Dentistry, L.l.c. is 1315 Anderson Ave, Ste A, Fort Lee, New Jersey and phone number is (201) 224-4400.

A Beautiful Smile Dentistry, L.l.c. is licensed to practice in New Jersey (license number 22DI02183600). The clinic also participates in the medicare program and its NPI number is 1316940224. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (201) 224-4400.

Contact Information

A Beautiful Smile Dentistry, L.l.c.
1315 Anderson Ave
Ste A
Fort Lee
NJ 07024-1732
(201) 224-4400
(201) 224-4418

Dental Care Clinic Profile

Full NameA Beautiful Smile Dentistry, L.l.c.
SpecialityDentist
Location1315 Anderson Ave, Fort Lee, New Jersey
Authorized Official Name and PositionDavid Jin (OWNER/PROVIDER)
Authorized Official Contact2012244400
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
A Beautiful Smile Dentistry, L.l.c.
1315 Anderson Ave
Ste A
Fort Lee
NJ 07024-1732

Ph: (201) 224-4400
A Beautiful Smile Dentistry, L.l.c.
1315 Anderson Ave
Ste A
Fort Lee
NJ 07024-1732

Ph: (201) 224-4400

NPI Details:

NPI Number1316940224
Provider Enumeration Date05/24/2005
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID1557710167
Medicare Enrollment IDO20231207003321

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Medical Identifiers

Medical identifiers for A Beautiful Smile Dentistry, L.l.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316940224NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 22DI02183600 (New Jersey)Primary
122300000XDentist 047558-1 (New York)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. A Beautiful Smile Dentistry, L.l.c. acts as a billing entity for following providers:
Provider NameDavid Jin
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1255334165
PECOS PAC ID: 7517261399
Enrollment ID: I20231207003282

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