Provider Demographics
NPI:1215941299
Name:JDB INC
Entity type:Organization
Organization Name:JDB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:DI BENEDETTO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-219-6744
Mailing Address - Street 1:314 WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1542
Mailing Address - Country:US
Mailing Address - Phone:732-219-6744
Mailing Address - Fax:732-219-6765
Practice Address - Street 1:314 WILLOW DR
Practice Address - Street 2:
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1542
Practice Address - Country:US
Practice Address - Phone:732-219-6744
Practice Address - Fax:732-219-6765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ178201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty