Provider Demographics
NPI:1710035571
Name:MIDDLESEX ENDODONTICS P.A.
Entity Type:Organization
Organization Name:MIDDLESEX ENDODONTICS P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:MILFORD
Authorized Official - Last Name:LAFKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:732-549-2340
Mailing Address - Street 1:1 STATE ROUTE 27
Mailing Address - Street 2:SUITE 6
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3962
Mailing Address - Country:US
Mailing Address - Phone:732-549-2340
Mailing Address - Fax:
Practice Address - Street 1:1 STATE ROUTE 27
Practice Address - Street 2:SUITE 6
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3962
Practice Address - Country:US
Practice Address - Phone:732-549-2340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI010115001223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty