# MEREDITH BLITZ, DDS, LLC

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

## Provider details

- **NPI number:** 1164072856
- **Authorized official:** DR. MEREDITH BLITZ DDS (SOLE MEMBER)
- **Authorized official phone:** (973) 831-0382

## Contact information

- **Practice address:** 28 JACKSON AVE, POMPTON PLAINS, NJ 07444-1479
- **Practice address phone:** (973) 831-0382
- **Mailing address:** 28 JACKSON AVE, POMPTON PLAINS, NJ 07444-1479
- **Mailing address phone:** (973) 831-0382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2019
- **Last updated:** 09/16/2019