Provider Demographics
NPI:1154333953
Name:FISHBEYN, ALLA D (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALLA
Middle Name:D
Last Name:FISHBEYN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3322 HW 22W
Mailing Address - Street 2:STE 608 DR ALLA FISHBEYN
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-4401
Mailing Address - Country:US
Mailing Address - Phone:908-231-8778
Mailing Address - Fax:908-231-8791
Practice Address - Street 1:3322 HW 22W
Practice Address - Street 2:STE 608 DR ALLA FISHBEYN
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-4401
Practice Address - Country:US
Practice Address - Phone:908-231-8778
Practice Address - Fax:908-231-8791
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ20088122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist