Provider Demographics
NPI:1285025049
Name:DANIEL J ARMENTO DMD LLC
Entity Type:Organization
Organization Name:DANIEL J ARMENTO DMD LLC
Other - Org Name:ARMENTO FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARMENTO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:908-879-8530
Mailing Address - Street 1:PO BOX 529
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-0529
Mailing Address - Country:US
Mailing Address - Phone:908-879-8530
Mailing Address - Fax:908-879-8568
Practice Address - Street 1:530 EAST MAIN STREET
Practice Address - Street 2:BUILDING C, SUITE 1
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-0529
Practice Address - Country:US
Practice Address - Phone:908-879-8530
Practice Address - Fax:908-879-8568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-13
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01984100122300000X
NJ22DI01971200122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty