Organization
DENTAL SPECIALISTS OF NJ LLC
Active
Parent organization
DENTAL SPECIALISTS OF NJ LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL SPECIALISTS OF NJ LLC
Authorized official
MS. MICHELLE BUNTZEN (REGIONAL OPERATIONS)
(201) 694-5290
Entity
Organization
Contact information
Practice address
950 AVENUE C, BAYONNE, NJ 07002
(201) 339-8019
Mailing address
180 OLD TAPPAN ROAD, BUILDING 1 SECOND FLOOR, OLD TAPPAN, NJ 07675
(201) 694-5290
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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