Provider Demographics
NPI:1467014357
Name:NEWARK DENTAL ASSOCIATES PA
Entity Type:Organization
Organization Name:NEWARK DENTAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:REI-YANG
Authorized Official - Middle Name:
Authorized Official - Last Name:HSU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:302-737-5170
Mailing Address - Street 1:344 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-7187
Mailing Address - Country:US
Mailing Address - Phone:302-737-5170
Mailing Address - Fax:302-737-3142
Practice Address - Street 1:344 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-7187
Practice Address - Country:US
Practice Address - Phone:302-737-5170
Practice Address - Fax:302-737-3142
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEWARK DENTAL ASSOCIATES PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-01
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies