# HENRY THE DENTIST 1 NEW JERSEY P.A.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HENRY THE DENTIST 1 NEW JERSEY P.A.
- **Other names:** HENRY The Dentist
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376194415
- **Legal business name:** HENRY THE DENTIST 1 NEW JERSEY P.A.
- **Authorized official:** DR. JEFFREY BEN RAPPAPORT DDS (OWNER/DENTAL DIRECTOR)
- **Authorized official phone:** (551) 999-2226

## Contact information

- **Practice address:** 890 MOUNTAIN AVE STE 310, NEW PROVIDENCE, NJ 07974-1240
- **Practice address phone:** (551) 999-2226
- **Practice address fax:** (908) 926-2636
- **Mailing address:** 890 MOUNTAIN AVE STE 310, NEW PROVIDENCE, NJ 07974-1240
- **Mailing address phone:** (551) 999-2226
- **Mailing address fax:** (908) 926-2636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2019
- **Last updated:** 09/20/2019