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

Herawati T Kandou DDS PA

Organization Dentist · NPI 1871666586

Herawati T Kandou DDS PA provides Dentist services in Elizabeth, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

35 Jefferson Ave
Elizabeth, NJ 07201-2425 Not confirmed with CMS for 18 years — call before visiting
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 number1871666586
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Herawati Kandou — President Orthodontist · (908) 354-1188
NPI enumeratedNovember 17, 2006
Last updated in NPPESMay 30, 2008
Mailing address35 Jefferson Avenue, Elizabeth, NJ 07201-2425

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