# HAWTHORNE FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1336394113
- **Authorized official:** DR. RITESH A SHAH DDS (PARTNER)
- **Authorized official phone:** (973) 427-9299

## Contact information

- **Practice address:** 354 LINCOLN AVE, HAWTHORNE, NJ 07506-1200
- **Practice address phone:** (973) 427-9299
- **Practice address fax:** (973) 427-9295
- **Mailing address:** 354 LINCOLN AVE, HAWTHORNE, NJ 07506-1200
- **Mailing address phone:** (973) 427-9299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 02136800 | NJ | Yes |

## Other

- **Enumeration date:** 11/20/2008
- **Last updated:** 11/20/2008