Provider Demographics
NPI:1043370356
Name:GREENBERG, HARRY WILLIAM (DMD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:WILLIAM
Last Name:GREENBERG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:362 RIDGEWAY ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-1444
Mailing Address - Country:US
Mailing Address - Phone:609-267-3230
Mailing Address - Fax:609-267-3136
Practice Address - Street 1:362 RIDGEWAY ST
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-1444
Practice Address - Country:US
Practice Address - Phone:609-267-3230
Practice Address - Fax:609-267-3136
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI011708001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice