Provider Demographics
NPI:1629124193
Name:PATERSON DENTAL GROUP PA
Entity Type:Organization
Organization Name:PATERSON DENTAL GROUP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVINO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-742-4366
Mailing Address - Street 1:PO BOX 2068
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07509-2068
Mailing Address - Country:US
Mailing Address - Phone:973-742-4366
Mailing Address - Fax:973-742-5948
Practice Address - Street 1:295 BROADWAY
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07501
Practice Address - Country:US
Practice Address - Phone:973-742-4366
Practice Address - Fax:973-742-5948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI17080122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty