# CHESTNUT RIDGE DENTAL ASSOCIATES P.A.

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

## Provider details

- **NPI number:** 1346396876
- **Authorized official:** DR. SAMUEL P MUFSON DMD (PRESIDENT)
- **Authorized official phone:** (201) 391-4466

## Contact information

- **Practice address:** 595 CHESTNUT RIDGE RD, SUITE 1, WOODCLIFF LAKE, NJ 07677-7663
- **Practice address phone:** (201) 391-4466
- **Practice address fax:** (201) 391-0422
- **Mailing address:** 595 CHESTNUT RIDGE RD, SUITE 1, WOODCLIFF LAKE, NJ 07677-7663
- **Mailing address phone:** (201) 391-4466
- **Mailing address fax:** (201) 391-0422

## Taxonomy

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

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 08/22/2020