# RICHARD A MARCUS DMD PA

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

## Provider details

- **NPI number:** 1104999598
- **Authorized official:** DR. RICHARD A MARCUS DMD (PRESIDENT)
- **Authorized official phone:** (732) 363-4800

## Contact information

- **Practice address:** 515 CLIFTON AVE, LAKEWOOD, NJ 08701-3250
- **Practice address phone:** (732) 363-4800
- **Practice address fax:** (732) 363-4993
- **Mailing address:** 515 CLIFTON AVE, LAKEWOOD, NJ 08701-3250
- **Mailing address phone:** (732) 363-4800
- **Mailing address fax:** (732) 363-4993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 15634 | NJ | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 08/22/2020