Provider Demographics
NPI:1417165507
Name:EXCELDENT DENTAL OF PLAINSBORO, LLP
Entity Type:Organization
Organization Name:EXCELDENT DENTAL OF PLAINSBORO, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ROBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-799-7766
Mailing Address - Street 1:666 PLAINSBORO RD
Mailing Address - Street 2:SUITE 616
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-3030
Mailing Address - Country:US
Mailing Address - Phone:609-799-7766
Mailing Address - Fax:609-799-7765
Practice Address - Street 1:666 PLAINSBORO RD
Practice Address - Street 2:SUITE 616
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-3030
Practice Address - Country:US
Practice Address - Phone:609-799-7766
Practice Address - Fax:609-799-7765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-20
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty