Provider Demographics
NPI:1134684400
Name:SONAL JAIN,D.D.S.,P.A.
Entity Type:Organization
Organization Name:SONAL JAIN,D.D.S.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONAL
Authorized Official - Middle Name:K
Authorized Official - Last Name:JAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:908-245-7600
Mailing Address - Street 1:83 E WESTFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:ROSELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07204-2207
Mailing Address - Country:US
Mailing Address - Phone:908-245-7600
Mailing Address - Fax:908-245-7909
Practice Address - Street 1:83 E WESTFIELD AVE
Practice Address - Street 2:
Practice Address - City:ROSELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07204-2207
Practice Address - Country:US
Practice Address - Phone:908-245-7600
Practice Address - Fax:908-245-7909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental