Provider Demographics
NPI:1811489438
Name:AMERICAN DENTAL CARE OF NJ PA
Entity type:Organization
Organization Name:AMERICAN DENTAL CARE OF NJ PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-494-3300
Mailing Address - Street 1:531 US HIGHWAY 22 E
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08889-3695
Mailing Address - Country:US
Mailing Address - Phone:908-534-4001
Mailing Address - Fax:
Practice Address - Street 1:531 US HIGHWAY 22 E
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE STATION
Practice Address - State:NJ
Practice Address - Zip Code:08889-3695
Practice Address - Country:US
Practice Address - Phone:908-534-4001
Practice Address - Fax:908-534-2937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty