Provider Demographics
NPI:1033252978
Name:CALIBER DENTAL
Entity Type:Organization
Organization Name:CALIBER DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PREETMOHINDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:BAGGA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:973-537-7500
Mailing Address - Street 1:447 STATE ROUTE 10
Mailing Address - Street 2:SUITE 3
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-2132
Mailing Address - Country:US
Mailing Address - Phone:973-537-7500
Mailing Address - Fax:973-537-7400
Practice Address - Street 1:447 STATE ROUTE 10
Practice Address - Street 2:SUITE 3
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-2132
Practice Address - Country:US
Practice Address - Phone:973-537-7500
Practice Address - Fax:973-537-7400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI018985122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty