Mobile Dental Practice, PC
Mobile Dental Practice, PC is a healthcare organization registered as General Practice Dentistry in Wyckoff, NJ, holding Type 2 (organization) NPI 1235311028 since 2007. The authorized official on file is Stephen Beukas, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1235311028 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mobile Dental Practice, PC |
| Practice address | 800 WYCKOFF AVE, SUITE 103, Wyckoff, NJ, 07481 |
| Phone | 2018914700 |
| Fax | 2018914943 |
| Enumeration date | 2007-12-03 |
| Last updated in NPPES | 2007-12-03 |
Authorized official
| Name | Stephen Beukas |
|---|---|
| Title | President |
| Phone | 2018914700 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | DI018346 | NJ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090911 | Medicaid | NJ | — |
Copy-ready billing details
Provider: Mobile Dental Practice, PC NPI: 1235311028 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 800 WYCKOFF AVE, SUITE 103, Wyckoff, NJ, 07481
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1275677213 | Stephen Beukas | Individual | General Practice Dentistry | Wyckoff, NJ |
Verify this record
Cross-check NPI 1235311028 against the authoritative CMS record: view Mobile Dental Practice, PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Mobile Dental Practice, PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-12-03.