Provider Demographics
NPI:1437515087
Name:CASTLE FAMILY DENTISTRY LLC
Entity Type:Organization
Organization Name:CASTLE FAMILY DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:BIALIY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:908-689-0911
Mailing Address - Street 1:151 W WASHINGTON AVE
Mailing Address - Street 2:#201
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-2191
Mailing Address - Country:US
Mailing Address - Phone:908-689-0911
Mailing Address - Fax:
Practice Address - Street 1:151 W WASHINGTON AVE
Practice Address - Street 2:#201
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882-2191
Practice Address - Country:US
Practice Address - Phone:908-689-0911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-12
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental