Provider Demographics
NPI:1568194397
Name:DENTAL SPECIALISTS OF JERSEY CITY PC
Entity Type:Organization
Organization Name:DENTAL SPECIALISTS OF JERSEY CITY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-273-9929
Mailing Address - Street 1:115 CHRISTOPHER COLUMBUS DR STE 202
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-3551
Mailing Address - Country:US
Mailing Address - Phone:201-273-9929
Mailing Address - Fax:201-273-9234
Practice Address - Street 1:115 CHRISTOPHER COLUMBUS DR STE 202
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-3551
Practice Address - Country:US
Practice Address - Phone:201-273-9929
Practice Address - Fax:201-273-9234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty