Provider Demographics
NPI:1033236377
Name:EPSTEIN, ELKIN, AND SARGISS ORTHODONTIC ASSOCIATES
Entity Type:Organization
Organization Name:EPSTEIN, ELKIN, AND SARGISS ORTHODONTIC ASSOCIATES
Other - Org Name:BRACE PLACE ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:ZAK
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-536-4422
Mailing Address - Street 1:800 TENNENT RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8247
Mailing Address - Country:US
Mailing Address - Phone:732-536-4422
Mailing Address - Fax:732-536-3396
Practice Address - Street 1:800 TENNENT RD
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8247
Practice Address - Country:US
Practice Address - Phone:732-536-4422
Practice Address - Fax:732-536-3396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty