# RICHARD M KAGAN DDS PA

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

## Provider details

- **NPI number:** 1407955792
- **Authorized official:** DR. RICHARD MARK KAGAN DDS (PRESIDENT)
- **Authorized official phone:** (201) 944-4040

## Contact information

- **Practice address:** 1530 PALISADE AVE, SUITE 101, FORT LEE, NJ 07024-4923
- **Practice address phone:** (201) 944-4040
- **Practice address fax:** (201) 944-4041
- **Mailing address:** 1530 PALISADE AVE, SUITE 101, FORT LEE, NJ 07024-4923
- **Mailing address phone:** (201) 944-4040
- **Mailing address fax:** (201) 944-4041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 9355 | NJ | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 08/22/2020