River Edge Family Dental
Dentist in River Edge, NJ. Organization (NPI-2).
NPI number1346662012
StatusActive
Last updated in NPPESJan 14, 2014
Details
- NPI
- 1346662012
- Entity type
- Organization (NPI-2)
- Legal business name
- River Edge Family Dental
- Organization subpart
- No
- Enumeration date
- Jan 14, 2014
- Last updated
- Jan 14, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DI02140900 | NJ | Yes |
Practice location
130 Kinderkamack RdSuite 303
River Edge, NJ 07661-1939
Phone 201-343-4044
Mailing address
130 Kinderkamack RdSuite 303
River Edge, NJ 07661-1939
Phone 201-343-4044
Authorized official
Marlen Martirossian
President/Owner
2013434044
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dentist providers in River Edge, NJ
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.