Provider Demographics
NPI:1417040445
Name:ENDODONTIC ASSOCIATES OF CLIFTON
Entity Type:Organization
Organization Name:ENDODONTIC ASSOCIATES OF CLIFTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:IVAN
Authorized Official - Last Name:DEBLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:973-773-6050
Mailing Address - Street 1:1001 CLIFTON AVE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3586
Mailing Address - Country:US
Mailing Address - Phone:973-773-6050
Mailing Address - Fax:973-773-3520
Practice Address - Street 1:1001 CLIFTON AVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3586
Practice Address - Country:US
Practice Address - Phone:973-773-6050
Practice Address - Fax:973-773-3520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty