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

Dr. Herawati Tirtadjaja Kandou, DDS

Individual provider Dentist · NPI 1023246105

Dr. Herawati Tirtadjaja Kandou, DDS is a Dentist in Elizabeth, New Jersey. Licensed in New Jersey. Registered with an NPI since 2009.

Licensed in
NJ
In the registry since
2009
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

35 Jefferson Ave
Elizabeth, NJ 07201-2425
Phone: (908) 354-1188
Fax: (908) 352-7390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 9708 (NJ)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 3026 (NJ)

Record details

NPI number1023246105
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 26, 2009
Last updated in NPPESJune 26, 2009

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