Provider Demographics
NPI:1114144946
Name:PLAINSBORO DENTAL ARTS LLC
Entity Type:Organization
Organization Name:PLAINSBORO DENTAL ARTS LLC
Other - Org Name:DR SEMENETZ, PATERSON AND ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:PATERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:609-275-0022
Mailing Address - Street 1:666 PLAINSBORO RD
Mailing Address - Street 2:SUITE 645
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536
Mailing Address - Country:US
Mailing Address - Phone:609-275-0022
Mailing Address - Fax:609-275-0194
Practice Address - Street 1:666 PLAINSBORO RD
Practice Address - Street 2:SUITE 645
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536
Practice Address - Country:US
Practice Address - Phone:609-275-0022
Practice Address - Fax:609-275-0194
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLAINSBORO DENTAL ARTS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-20
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1013108001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty