Provider Demographics
NPI:1104968213
Name:ARZINGER, KATHLEEN IRENE (DMD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:IRENE
Last Name:ARZINGER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07660-1598
Mailing Address - Country:US
Mailing Address - Phone:201-440-9190
Mailing Address - Fax:
Practice Address - Street 1:255 MAIN ST
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07660-1598
Practice Address - Country:US
Practice Address - Phone:201-440-9190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062889-01122300000X
NJDI018175122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist