Provider Demographics
NPI:1508873068
Name:ENG, PETER KIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:KIN
Last Name:ENG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3125 ROUTE 10
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-3431
Mailing Address - Country:US
Mailing Address - Phone:973-328-7199
Mailing Address - Fax:973-328-7122
Practice Address - Street 1:3125 STATE ROUTE 10
Practice Address - Street 2:SUITE 1B
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-3431
Practice Address - Country:US
Practice Address - Phone:973-328-7199
Practice Address - Fax:973-328-7122
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI017580001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice