Provider Demographics
NPI:1205003407
Name:KNAPP, ERIC MARC (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:MARC
Last Name:KNAPP
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 1:228 RIVERVALE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:RIVERVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-6216
Mailing Address - Country:US
Mailing Address - Phone:201-666-8200
Mailing Address - Fax:201-666-8205
Practice Address - Street 1:228 RIVERVALE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:RIVERVALE
Practice Address - State:NJ
Practice Address - Zip Code:07675-6216
Practice Address - Country:US
Practice Address - Phone:201-666-8200
Practice Address - Fax:201-666-8205
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI019336001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice