Provider Demographics
NPI:1033989629
Name:J PLUS DENTAL PC
Entity Type:Organization
Organization Name:J PLUS DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JIHYE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-777-3277
Mailing Address - Street 1:277 CLOSTER DOCK RD STE 7
Mailing Address - Street 2:
Mailing Address - City:CLOSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07624-2445
Mailing Address - Country:US
Mailing Address - Phone:201-777-3277
Mailing Address - Fax:
Practice Address - Street 1:277 CLOSTER DOCK RD STE 7
Practice Address - Street 2:
Practice Address - City:CLOSTER
Practice Address - State:NJ
Practice Address - Zip Code:07624-2445
Practice Address - Country:US
Practice Address - Phone:201-777-3277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental