Provider Demographics
NPI:1346671500
Name:GEORGEE LUDWIG DDS
Entity Type:Organization
Organization Name:GEORGEE LUDWIG DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:LUDWIG
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:732-548-3232
Mailing Address - Street 1:601 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-1403
Mailing Address - Country:US
Mailing Address - Phone:732-548-3232
Mailing Address - Fax:732-548-3234
Practice Address - Street 1:601 MAIN ST
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-1403
Practice Address - Country:US
Practice Address - Phone:732-548-3232
Practice Address - Fax:732-548-3234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ15674122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty