# JONATHAN A NITCHE DMD LLC

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

## Provider details

- **NPI number:** 1366616393
- **Authorized official:** DR. JONATHAN ALBERT NITCHE DMD (OWNER)
- **Authorized official phone:** (973) 228-5545

## Contact information

- **Practice address:** 556 EAGLE ROCK AVE, SUITE 103, ROSELAND, NJ 07068-1503
- **Practice address phone:** (973) 228-5545
- **Practice address fax:** (973) 228-3863
- **Mailing address:** 556 EAGLE ROCK AVE, SUITE 103, ROSELAND, NJ 07068-1503
- **Mailing address phone:** (973) 228-5545
- **Mailing address fax:** (973) 228-3863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 21571 | NJ | Yes |

## Other

- **Enumeration date:** 04/22/2008
- **Last updated:** 04/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1114941333 | INDIVIDUAL NPI | — |
| 01 | — | 1700974664 | INDIVIDUAL NPI | — |