Provider Demographics
NPI:1336286467
Name:RONALD FORTE, DMD, PA
Entity Type:Organization
Organization Name:RONALD FORTE, DMD, PA
Other - Org Name:HAMBURG FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:FORTE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:973-209-4500
Mailing Address - Street 1:225 STATE RT 23 S
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:07419
Mailing Address - Country:US
Mailing Address - Phone:973-209-4500
Mailing Address - Fax:
Practice Address - Street 1:225 STATE RT 23 S
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NJ
Practice Address - Zip Code:07419
Practice Address - Country:US
Practice Address - Phone:973-209-4500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI178301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty