Provider Demographics
NPI:1073673687
Name:DORNFELD, NEIL JEFFREY (DMD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:JEFFREY
Last Name:DORNFELD
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 1:14 TROY DR
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-2423
Mailing Address - Country:US
Mailing Address - Phone:973-533-0523
Mailing Address - Fax:
Practice Address - Street 1:9 POST RD
Practice Address - Street 2:SUITE M1A
Practice Address - City:OAKLAND
Practice Address - State:NJ
Practice Address - Zip Code:07436-1618
Practice Address - Country:US
Practice Address - Phone:201-337-6135
Practice Address - Fax:201-337-8008
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 105421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice