Organization
HENRY THE DENTIST 1 NEW JERSEY P.A.
Active
Parent organization
HENRY THE DENTIST 1 NEW JERSEY P.A.
Other names
HENRY The Dentist
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENRY THE DENTIST 1 NEW JERSEY P.A.
Authorized official
DR. JEFFREY BEN RAPPAPORT DDS (OWNER/DENTAL DIRECTOR)
(551) 999-2226
Entity
Organization
Contact information
Practice address
890 MOUNTAIN AVE STE 310, NEW PROVIDENCE, NJ 07974-1240
(551) 999-2226
(908) 926-2636
Mailing address
890 MOUNTAIN AVE STE 310, NEW PROVIDENCE, NJ 07974-1240
(551) 999-2226
(908) 926-2636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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