# SUMMIT DENTAL GROUP RIVERDALE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Summit Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386984243
- **Authorized official:** DR. ROBERT LORINO D.M.D. (MEMBER/OWNER)
- **Authorized official phone:** (973) 342-1233

## Contact information

- **Practice address:** 92 STATE RT 23, RIVERDALE, NJ 07457-1203
- **Practice address phone:** (201) 891-7400
- **Mailing address:** 860 MEADOW LN, FRANKLIN LAKES, NJ 07417-1112
- **Mailing address phone:** (973) 342-1233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02140400 | NJ | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 22DI02152600 | NJ | — |

## Other

- **Enumeration date:** 02/28/2013
- **Last updated:** 02/28/2013