Provider Demographics
NPI:1144422130
Name:KARTUSH, MARTIN S (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:S
Last Name:KARTUSH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-1347
Mailing Address - Country:US
Mailing Address - Phone:908-340-4152
Mailing Address - Fax:212-616-8358
Practice Address - Street 1:22 HOWARD BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:MT ARLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07856-1532
Practice Address - Country:US
Practice Address - Phone:973-770-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-03
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1022726001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice