Provider Demographics
NPI:1609995463
Name:FRIENDLY DENTAL CENTER INC
Entity Type:Organization
Organization Name:FRIENDLY DENTAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AYSEN
Authorized Official - Middle Name:BILGE
Authorized Official - Last Name:ADSAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-465-8885
Mailing Address - Street 1:604-608 MARKET ST
Mailing Address - Street 2:SUITE #3A
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105-2911
Mailing Address - Country:US
Mailing Address - Phone:973-465-8885
Mailing Address - Fax:973-465-8838
Practice Address - Street 1:604-608 MARKET ST
Practice Address - Street 2:SUITE #3A
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-2911
Practice Address - Country:US
Practice Address - Phone:973-465-8885
Practice Address - Fax:973-465-8838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDL 019787261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental