Provider Demographics
NPI:1437316049
Name:HARRY KANTOR BARRY KANTOR DDS PA
Entity Type:Organization
Organization Name:HARRY KANTOR BARRY KANTOR DDS PA
Other - Org Name:BARRY KANTOR DDS PA
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:KANTOR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-865-2847
Mailing Address - Street 1:711 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-3428
Mailing Address - Country:US
Mailing Address - Phone:201-865-2847
Mailing Address - Fax:201-865-2847
Practice Address - Street 1:711 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-3428
Practice Address - Country:US
Practice Address - Phone:201-865-2847
Practice Address - Fax:201-865-2847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI011001001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty