Provider Demographics
NPI:1477627719
Name:DRS. KRANTZ & SIROTA, P.A.
Entity Type:Organization
Organization Name:DRS. KRANTZ & SIROTA, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:A
Authorized Official - Last Name:SIROTA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-477-9290
Mailing Address - Street 1:532 BRICK BLVD
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-6006
Mailing Address - Country:US
Mailing Address - Phone:732-477-9290
Mailing Address - Fax:732-477-0569
Practice Address - Street 1:532 BRICK BLVD
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-6006
Practice Address - Country:US
Practice Address - Phone:732-477-9290
Practice Address - Fax:732-477-0569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty