Provider Demographics
NPI:1679702997
Name:SUGARMAN, ARI JONATHAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARI
Middle Name:JONATHAN
Last Name:SUGARMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6 BRIGHTON RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1647
Mailing Address - Country:US
Mailing Address - Phone:973-473-7377
Mailing Address - Fax:973-473-7378
Practice Address - Street 1:6 BRIGHTON RD
Practice Address - Street 2:SUITE 105
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012-1647
Practice Address - Country:US
Practice Address - Phone:973-473-7377
Practice Address - Fax:973-473-7378
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-08
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY50 0542511223P0221X
NJ22DI024335001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry