Provider Demographics
NPI:1679582373
Name:NOTCHVIEW DENTAL GROUP LLP
Entity Type:Organization
Organization Name:NOTCHVIEW DENTAL GROUP LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:EMILE
Authorized Official - Last Name:RALPH
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:973-473-4371
Mailing Address - Street 1:1037 US HIGHWAY 46
Mailing Address - Street 2:CG-1
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2451
Mailing Address - Country:US
Mailing Address - Phone:973-473-4371
Mailing Address - Fax:973-473-2017
Practice Address - Street 1:1037 US HIGHWAY 46
Practice Address - Street 2:CG-1
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2451
Practice Address - Country:US
Practice Address - Phone:973-473-4371
Practice Address - Fax:973-473-2017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1669480703Medicare UPIN
NJ1962405514Medicare UPIN