# COLUMBIA DENTAL OF ELIZABETH PA

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

## Provider details

- **NPI number:** 1548861750
- **Authorized official:** SCHANZE ZAIDI (COMPLIANCE MANAGER)
- **Authorized official phone:** (609) 403-0710

## Contact information

- **Practice address:** 151 JEFFERSON AVENUE, ELIZABETH, NJ 07201
- **Practice address phone:** (908) 409-7300
- **Practice address fax:** (908) 409-5071
- **Mailing address:** 151 JEFFERSON AVENUE, ELIZABETH, NJ 07201
- **Mailing address phone:** (908) 409-7300
- **Mailing address fax:** (908) 409-5071

## Taxonomy

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

## Other

- **Enumeration date:** 11/04/2020
- **Last updated:** 11/04/2020