Organization
OMAR T COCKEY DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR T COCKEY DMD (CEO)
(973) 779-6183
Entity
Organization
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 779-6183
(973) 779-6183
Mailing address
PO BOX 115, MONTCLAIR, NJ 07042-0115
(973) 779-6183
(973) 779-6183
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
DI 17684
NJ
261QD0000X
Dental Clinic/Center
Primary
DI 17684
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4608909
—
NJ
Enumeration date
03/24/2011
Last updated
03/24/2011
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