Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457547937 Individual Practitioner Female Practitioner

Dr. Elizabeth Sandoval , DMD

Dentist - General Practice • Bloomfield, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Elizabeth Sandoval, DMD is a registered healthcare professional specializing in Dentist - General Practice in Bloomfield, NJ. Practice services are available at 1025 BROAD ST STE 3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1025 Broad St Ste 3

Bloomfield, NJ 070032844

Telephone 9733381100
Fax 9733381059
Associated Practice Facility / Clinic
🏢 Creating Smiles Family Dental Facility NPI 1063867117

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bloomfield, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
26 Specialists

Practicing in Bloomfield, NJ (4316 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI02233300

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NY 053693-1

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Frouzandeh Mahdi , DMD

Dentist - General Practice

NPI 1356483929

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 15, 2020

Registered at 1025 BROAD ST STE 3, BLOOMFIELD, NJ 070032844 (Tel: 9733381100)

📍
Updated Business Mailing Address January 15, 2020

Registered at 1025 BROAD ST STE 3E, BLOOMFIELD, NJ 070032844 (Tel: 9733381100)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2020

Dentist (License #22DI02233300 in NJ)

NPI Profile Active September 19, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2007

Registered at 3201 GRAND CONCOURSE, SUITE 2K, BRONX, NY 104681247 (Tel: 7185849777)

📍
Updated Business Mailing Address September 19, 2007

Registered at 3201 GRAND CONCOURSE, SUITE 2K, BRONX, NY 104681247 (Tel: 7185849777)

👤
Provider Name / Credentials Updated September 19, 2007

Recorded as ELIZABETH SANDOVAL, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2007

Dentist (License #053693-1 in NY)

🟢
Initial NPI Registration & Enumeration September 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457547937
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2007
Last Update: January 15, 2020
Sole Proprietor: No

Mailing Address

1025 Broad St Ste 3e

Bloomfield, NJ 070032844

Phone: 9733381100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.