Provider Demographics
NPI:1396968368
Name:PEDIATRIC DENTAL ALLIANCE LLP
Entity type:Organization
Organization Name:PEDIATRIC DENTAL ALLIANCE LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIANG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-972-2990
Mailing Address - Street 1:59 COUNTY ROAD 520
Mailing Address - Street 2:
Mailing Address - City:ENGLISHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8220
Mailing Address - Country:US
Mailing Address - Phone:732-972-2990
Mailing Address - Fax:
Practice Address - Street 1:59 COUNTY ROAD 520
Practice Address - Street 2:
Practice Address - City:ENGLISHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8220
Practice Address - Country:US
Practice Address - Phone:732-972-2990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty