# SS DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** jersey city dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639296643
- **Authorized official:** DR. BLAIR ADAM SCHACHTEL DMD (PRESIDENT)
- **Authorized official phone:** (201) 434-0919

## Contact information

- **Practice address:** 162 NEWARK AVE, JERSEY CITY, NJ 07302-2814
- **Practice address phone:** (201) 434-0919
- **Practice address fax:** (201) 434-1453
- **Mailing address:** 162 NEWARK AVE, JERSEY CITY, NJ 07302-2814
- **Mailing address phone:** (201) 434-0919
- **Mailing address fax:** (201) 434-1453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DI19834 | NJ | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 08/22/2020