DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. VIVIANA PORTILLO, DMD

Active Sole Proprietor

DR. VIVIANA PORTILLO, DMD is a Dentist healthcare provider located in ENGLEWOOD, New Jersey. NPI 1164152591 is currently active in the NPPES registry. Verify at CMS.

Dentist · ENGLEWOOD, NJ

Registration Details

NPI Number
1164152591
Provider Type
Individual
Gender
Female
NPI Issued
Jun 17, 2022 (4.1687198549231 yrs)
Last Updated
Jul 21, 2022
License
DN27232 (FL)
Sole Proprietor
Yes

Practice Information

Address
370 GRAND AVE STE 200
ENGLEWOOD, NJ, 076314109
Browse NJ providers · Browse ZIP 07631
Phone
2018713555
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in ENGLEWOOD, NJ

Name Credential NPI
DR. BERRY STAHL DMD 1780654947
DR. YOO JEONG ANNA HONG DDS 1497818280
DR. NEIL S STEARNS DMD 1588792279
DR. ROBERT BOGOSSIAN DMD 1225247893
DR. REMO V. BIAGIONI D.M.D. 1114129269
DR. EDWIN LEE D.M.D. 1285838565
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.