Provider Demographics
NPI:1386722718
Name:EISEN & ZIRKIN PA
Entity type:Organization
Organization Name:EISEN & ZIRKIN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:ZIRKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:732-972-5922
Mailing Address - Street 1:50 US HIGHWAY 9 N
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1574
Mailing Address - Country:US
Mailing Address - Phone:732-972-5922
Mailing Address - Fax:732-972-6520
Practice Address - Street 1:50 US HIGHWAY 9 N
Practice Address - Street 2:SUITE 102
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1574
Practice Address - Country:US
Practice Address - Phone:732-972-5922
Practice Address - Fax:732-972-6520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI183721223P0300X
NJDI131091223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty