Provider Demographics
NPI:1578601233
Name:STAR DENTAL CENTER,LLC
Entity Type:Organization
Organization Name:STAR DENTAL CENTER,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEMAMALINI
Authorized Official - Middle Name:
Authorized Official - Last Name:SARATH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:732-296-1027
Mailing Address - Street 1:1323 RT. 27
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873
Mailing Address - Country:US
Mailing Address - Phone:732-296-1027
Mailing Address - Fax:732-296-0909
Practice Address - Street 1:1323 RT. 27
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873
Practice Address - Country:US
Practice Address - Phone:732-296-1027
Practice Address - Fax:732-296-0909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 020221001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty