Provider Demographics
NPI:1073646881
Name:JEFFREY B. TAUBER D.M.D. & KIMBERLY J. TAUBER D.M.D.,P.A.
Entity Type:Organization
Organization Name:JEFFREY B. TAUBER D.M.D. & KIMBERLY J. TAUBER D.M.D.,P.A.
Other - Org Name:SALVATORE G. SCIASCIA D.M.D. & JEFFREY B. TAUBER D.M.D.,P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:B
Authorized Official - Last Name:TAUBER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:973-827-2200
Mailing Address - Street 1:29 STATE RT 23 N
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:07419-1419
Mailing Address - Country:US
Mailing Address - Phone:973-827-2200
Mailing Address - Fax:973-827-2457
Practice Address - Street 1:29 STATE RT 23 N
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NJ
Practice Address - Zip Code:07419-1419
Practice Address - Country:US
Practice Address - Phone:973-827-2200
Practice Address - Fax:973-827-2457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ155731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ126220OtherBC BS PROVIDER ID
PA814150OtherUNITED CONCORDIA PROVIDER