# ROGER J. OLIVA, DMD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Indian Mills Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184733248
- **Authorized official:** DR. ROGER OLIVA DMD (OWNER)
- **Authorized official phone:** (609) 268-2222

## Contact information

- **Practice address:** 1 MILLSTONE DR, SHAMONG, NJ 08088-8920
- **Practice address phone:** (609) 268-2222
- **Practice address fax:** (609) 268-8361
- **Mailing address:** 1 MILLSTONE DR, SHAMONG, NJ 08088-8920
- **Mailing address phone:** (609) 268-2222
- **Mailing address fax:** (609) 268-8361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI01797100 | NJ | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/22/2020