# ISAI FISHKIN D.D.S.,PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043402027
- **Authorized official:** DR. ISAI FISHKIN DDS (DENTIST)
- **Authorized official phone:** (908) 654-7979

## Contact information

- **Practice address:** 213 SUMMIT RD, MOUNTAINSIDE, NJ 07092-2316
- **Practice address phone:** (908) 654-7979
- **Practice address fax:** (908) 654-9444
- **Mailing address:** 213 SUMMIT RD, MOUNTAINSIDE, NJ 07092-2316
- **Mailing address phone:** (908) 654-7979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI15341 | NJ | Yes |

## Other

- **Enumeration date:** 08/14/2007
- **Last updated:** 07/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0129488 | — | NJ |
| 05 | — | 8436703 | — | NJ |