Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rejuvenate Dental Sleep Medicine

Organization General Practice Dentistry · NPI 1851738736

Rejuvenate Dental Sleep Medicine is a General Practice Dentistry in Glen Rock, New Jersey. Licensed in New Jersey. Registered with an NPI since 2013.

Licensed in
NJ
In the registry since
2013

Practice location Address checks out

266 Harristown Rd Ste 102
Glen Rock, NJ 07452-3302
Phone: (201) 652-0400
Fax: (201) 447-5762
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22DI01825500 (NJ)

Record details

NPI number1851738736
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mayra Modesto-Garrido — Dentist · (201) 652-0400
NPI enumeratedMay 31, 2013
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024
Mailing address266 Harristown Rd, Suite 102, Glen Rock, NJ 07452-3302

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