Provider Demographics
NPI:1003972688
Name:NERURKAR, SEEMA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SEEMA
Middle Name:
Last Name:NERURKAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 E MAIN ST
Mailing Address - Street 2:2ND FL STE F
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-1711
Mailing Address - Country:US
Mailing Address - Phone:973-256-5100
Mailing Address - Fax:973-256-6001
Practice Address - Street 1:163 E MAIN ST
Practice Address - Street 2:2ND FL STE F
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-1711
Practice Address - Country:US
Practice Address - Phone:973-256-5100
Practice Address - Fax:973-256-6001
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0195011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice