Provider Demographics
NPI:1386916401
Name:LUNAGARIA, SAGAR (DMD)
Entity type:Individual
Prefix:DR
First Name:SAGAR
Middle Name:
Last Name:LUNAGARIA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 ELROY RD
Mailing Address - Street 2:APT # E17
Mailing Address - City:HATFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19440-3989
Mailing Address - Country:US
Mailing Address - Phone:732-763-4705
Mailing Address - Fax:
Practice Address - Street 1:425 AMWELL RD
Practice Address - Street 2:#104
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-1213
Practice Address - Country:US
Practice Address - Phone:908-359-6655
Practice Address - Fax:908-359-1291
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-06
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS038794122300000X
NJ22DI02551400122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist