Provider Demographics
NPI:1154131142
Name:PISCATAWAY DENTIST LLC
Entity type:Organization
Organization Name:PISCATAWAY DENTIST LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHREYA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:908-205-8585
Mailing Address - Street 1:216 STELTON RD STE D1
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-3284
Mailing Address - Country:US
Mailing Address - Phone:908-205-8585
Mailing Address - Fax:908-801-6800
Practice Address - Street 1:216 STELTON RD STE D1
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-3284
Practice Address - Country:US
Practice Address - Phone:908-205-8585
Practice Address - Fax:908-801-6800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty