Provider Demographics
NPI:1609964030
Name:SOLOMON, HAL ERIC (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAL
Middle Name:ERIC
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 MILLBURN AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1845
Mailing Address - Country:US
Mailing Address - Phone:973-379-7222
Mailing Address - Fax:973-379-7287
Practice Address - Street 1:187 MILLBURN AVE STE 4
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1845
Practice Address - Country:US
Practice Address - Phone:973-379-7222
Practice Address - Fax:973-379-7287
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI161811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ222948184OtherTIN