Provider Demographics
NPI:1053847277
Name:NK THIND DDS EAST ORANGE PA
Entity Type:Organization
Organization Name:NK THIND DDS EAST ORANGE PA
Other - Org Name:ACADEMY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:NAVLEEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:THIND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-968-6700
Mailing Address - Street 1:134 EVERGREEN PL
Mailing Address - Street 2:SUITE 101
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-2011
Mailing Address - Country:US
Mailing Address - Phone:973-968-6700
Mailing Address - Fax:
Practice Address - Street 1:134 EVERGREEN PL
Practice Address - Street 2:SUITE 101
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2011
Practice Address - Country:US
Practice Address - Phone:973-968-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-08
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02524700122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty