Provider Demographics
NPI:1417139510
Name:MANUEL B. CAMBEIRO, DDS, LLC
Entity Type:Organization
Organization Name:MANUEL B. CAMBEIRO, DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:BENITO
Authorized Official - Last Name:CAMBEIRO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-991-3773
Mailing Address - Street 1:312 BELLEVILLE TPKE
Mailing Address - Street 2:UNIT 2C
Mailing Address - City:NORTH ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07031-6463
Mailing Address - Country:US
Mailing Address - Phone:201-991-3773
Mailing Address - Fax:201-991-3779
Practice Address - Street 1:312 BELLEVILLE TPKE
Practice Address - Street 2:UNIT 2C
Practice Address - City:NORTH ARLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07031-6463
Practice Address - Country:US
Practice Address - Phone:201-991-3773
Practice Address - Fax:201-991-3779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI195771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty