Provider Demographics
NPI:1285229393
Name:POMPTON DENTAL ARTS OF RIVERDALE LLC
Entity Type:Organization
Organization Name:POMPTON DENTAL ARTS OF RIVERDALE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SALCH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:973-903-6117
Mailing Address - Street 1:27 NEWARK POMPTON TPKE
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07457-1186
Mailing Address - Country:US
Mailing Address - Phone:973-835-1440
Mailing Address - Fax:973-835-9440
Practice Address - Street 1:27 NEWARK POMPTON TPKE
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:NJ
Practice Address - Zip Code:07457-1186
Practice Address - Country:US
Practice Address - Phone:973-835-1440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty