Provider Demographics
NPI:1346021391
Name:THE DENTAL FAMILY OF SPECIALISTS
Entity Type:Organization
Organization Name:THE DENTAL FAMILY OF SPECIALISTS
Other - Org Name:THE DENTAL FAMILY ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:DRUGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-418-4215
Mailing Address - Street 1:1150 RARITAN RD STE 204B
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-3369
Mailing Address - Country:US
Mailing Address - Phone:908-418-4215
Mailing Address - Fax:
Practice Address - Street 1:1150 RARITAN RD STE 204B
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-3369
Practice Address - Country:US
Practice Address - Phone:908-418-4215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-06
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental