Provider Demographics
NPI:1144376203
Name:MADAN, SANGITA (DMD)
Entity Type:Individual
Prefix:DR
First Name:SANGITA
Middle Name:
Last Name:MADAN
Suffix:
Gender:F
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:SEBER ROAD
Mailing Address - Street 2:4C
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-1716
Mailing Address - Country:US
Mailing Address - Phone:908-979-0606
Mailing Address - Fax:908-979-9996
Practice Address - Street 1:SEBER ROAD
Practice Address - Street 2:4C
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-1716
Practice Address - Country:US
Practice Address - Phone:908-979-0606
Practice Address - Fax:908-979-9996
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI178071223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry