Provider Demographics
NPI:1043381155
Name:AARON A DUBOWSKY, DDS & SCOTT M DUBOWSKY, DMD, PA
Entity Type:Organization
Organization Name:AARON A DUBOWSKY, DDS & SCOTT M DUBOWSKY, DMD, PA
Other - Org Name:DUBOWSKY & DUBOWSKY, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:MICHAEL DUBOWSKY
Authorized Official - Last Name:DUBOWSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:201-339-1486
Mailing Address - Street 1:12 W 22ND ST
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-3616
Mailing Address - Country:US
Mailing Address - Phone:201-339-1486
Mailing Address - Fax:201-339-1487
Practice Address - Street 1:12 W 22ND ST
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3616
Practice Address - Country:US
Practice Address - Phone:201-339-1486
Practice Address - Fax:201-339-1487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01045200261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental