Provider Demographics
NPI:1013035559
Name:FRANKLYN J SARACINO JR DMD PA
Entity Type:Organization
Organization Name:FRANKLYN J SARACINO JR DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLYN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SARACINO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:908-735-8188
Mailing Address - Street 1:PO BOX 5314
Mailing Address - Street 2:1484 ROUTE 31 N WALNUT POND PROF BLDG
Mailing Address - City:CLINTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08809-0314
Mailing Address - Country:US
Mailing Address - Phone:908-735-8188
Mailing Address - Fax:
Practice Address - Street 1:1484 ROUTE 31 N
Practice Address - Street 2:WALNUT POND PROF BLDG
Practice Address - City:ANNANDDALE
Practice Address - State:NJ
Practice Address - Zip Code:08801
Practice Address - Country:US
Practice Address - Phone:908-735-8188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1009374001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2902702Medicaid