Provider Demographics
NPI:1043692783
Name:HAMILTON TOWNSHIP DENTAL ASSOCIATES LLC
Entity Type:Organization
Organization Name:HAMILTON TOWNSHIP DENTAL ASSOCIATES LLC
Other - Org Name:SIMPLY BEAUTIFUL SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:D'ANGELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-828-8986
Mailing Address - Street 1:1262 WHITEHORSE HAMILTON SQUARE RD
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3711
Mailing Address - Country:US
Mailing Address - Phone:609-581-8222
Mailing Address - Fax:
Practice Address - Street 1:1262 WHITEHORSE HAMILTON SQUARE ROAD
Practice Address - Street 2:
Practice Address - City:HAMILTON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08690
Practice Address - Country:US
Practice Address - Phone:609-581-8222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D101469400122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty