Provider Demographics
NPI:1164515458
Name:JAIN, NARPAT S (DMD)
Entity Type:Individual
Prefix:DR
First Name:NARPAT
Middle Name:S
Last Name:JAIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 PIERMONT ROAD
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670
Mailing Address - Country:US
Mailing Address - Phone:201-501-8282
Mailing Address - Fax:201-501-8380
Practice Address - Street 1:101 PIERMONT ROAD
Practice Address - Street 2:
Practice Address - City:TENAFLY
Practice Address - State:NJ
Practice Address - Zip Code:07670
Practice Address - Country:US
Practice Address - Phone:201-501-8282
Practice Address - Fax:201-501-8380
Is Sole Proprietor?:No
Enumeration Date:2006-10-01
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0193801223G0001X
NY0461041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice