Provider Demographics
NPI:1427512664
Name:JOHN T. CARABUENA, DDS & BLANCHE M. SUAREZ, DDS
Entity type:Organization
Organization Name:JOHN T. CARABUENA, DDS & BLANCHE M. SUAREZ, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:CARABUENA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-226-9200
Mailing Address - Street 1:5 BRIDLE WAY
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1237
Mailing Address - Country:US
Mailing Address - Phone:201-226-9200
Mailing Address - Fax:
Practice Address - Street 1:5 BRIDLE WAY
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1237
Practice Address - Country:US
Practice Address - Phone:201-226-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental