Provider Demographics
NPI:1295851053
Name:STAIMAN, ALIZA E (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALIZA
Middle Name:E
Last Name:STAIMAN
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 1:103 EDGEMONT PL
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4605
Mailing Address - Country:US
Mailing Address - Phone:201-833-8557
Mailing Address - Fax:
Practice Address - Street 1:948 TEANECK RD
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4504
Practice Address - Country:US
Practice Address - Phone:201-836-2720
Practice Address - Fax:201-568-1007
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1016384001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice