Provider Demographics
NPI:1083724181
Name:DENTAL ARTS OF NORTH BRUNSWICK LLP
Entity Type:Organization
Organization Name:DENTAL ARTS OF NORTH BRUNSWICK LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:FERTIG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:732-940-1111
Mailing Address - Street 1:2208 HIGHWAY 130 NORTH
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902
Mailing Address - Country:US
Mailing Address - Phone:732-940-1111
Mailing Address - Fax:732-940-1114
Practice Address - Street 1:2208 HIGHWAY 130 NORTH
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902
Practice Address - Country:US
Practice Address - Phone:732-940-1111
Practice Address - Fax:732-940-1114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental