Provider Demographics
NPI:1316094345
Name:RAND DENTAL ASSOCIATES, P.A.
Entity type:Organization
Organization Name:RAND DENTAL ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLIOT
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:RAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-927-8800
Mailing Address - Street 1:191 US HIGHWAY 206
Mailing Address - Street 2:
Mailing Address - City:FLANDERS
Mailing Address - State:NJ
Mailing Address - Zip Code:07836-9002
Mailing Address - Country:US
Mailing Address - Phone:973-927-8800
Mailing Address - Fax:973-252-9702
Practice Address - Street 1:191 US HIGHWAY 206
Practice Address - Street 2:
Practice Address - City:FLANDERS
Practice Address - State:NJ
Practice Address - Zip Code:07836-9002
Practice Address - Country:US
Practice Address - Phone:973-927-8800
Practice Address - Fax:973-252-9702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ163581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty