Provider Demographics
NPI:1922148444
Name:RIBEIRO, ANA PAULA (DMD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:PAULA
Last Name:RIBEIRO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BALDWIN AVENUE
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304
Mailing Address - Country:US
Mailing Address - Phone:201-432-6000
Mailing Address - Fax:201-432-0760
Practice Address - Street 1:8 BALDWIN AVENUE
Practice Address - Street 2:SUITE 2B
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-3154
Practice Address - Country:US
Practice Address - Phone:201-432-6000
Practice Address - Fax:201-432-0760
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ200471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice