Provider Demographics
NPI:1760187520
Name:THRIVE DENTAL WELLNESS
Entity Type:Organization
Organization Name:THRIVE DENTAL WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MISHEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTANI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:201-952-2490
Mailing Address - Street 1:8B TRIUMPH CT
Mailing Address - Street 2:
Mailing Address - City:EAST RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07073-1145
Mailing Address - Country:US
Mailing Address - Phone:201-952-2490
Mailing Address - Fax:
Practice Address - Street 1:4301 US HIGHWAY 1 STE 100A
Practice Address - Street 2:
Practice Address - City:MONMOUTH JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08852-1973
Practice Address - Country:US
Practice Address - Phone:201-952-2490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental