Provider Demographics
NPI:1689271116
Name:C&S DEANTAL ENTERPRISES
Entity Type:Organization
Organization Name:C&S DEANTAL ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:G
Authorized Official - Last Name:LOTA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:201-788-2607
Mailing Address - Street 1:296 OLDWOODS RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-1114
Mailing Address - Country:US
Mailing Address - Phone:201-788-2607
Mailing Address - Fax:
Practice Address - Street 1:388 POMPTON AVE STE 5
Practice Address - Street 2:
Practice Address - City:CEDAR GROVE
Practice Address - State:NJ
Practice Address - Zip Code:07009-1814
Practice Address - Country:US
Practice Address - Phone:973-239-4315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental