Provider Demographics
NPI:1598831117
Name:R DEL PRIORE DDS PA
Entity Type:Organization
Organization Name:R DEL PRIORE DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:DEL PRIORE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-567-6606
Mailing Address - Street 1:121 COUNTY ROAD
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670
Mailing Address - Country:US
Mailing Address - Phone:201-567-6606
Mailing Address - Fax:201-567-2587
Practice Address - Street 1:121 COUNTY ROAD
Practice Address - Street 2:
Practice Address - City:TENAFLY
Practice Address - State:NJ
Practice Address - Zip Code:07670
Practice Address - Country:US
Practice Address - Phone:201-567-6606
Practice Address - Fax:201-567-2587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1007269001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherMETLIFE AETNA DELTA DENTA