Provider Demographics
NPI:1760607956
Name:LASER DENTISTRY OF NORTH JERSEY, LLC.
Entity Type:Organization
Organization Name:LASER DENTISTRY OF NORTH JERSEY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:LUTHER
Authorized Official - Last Name:BUCHER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:201-337-9496
Mailing Address - Street 1:9 POST RD
Mailing Address - Street 2:SUITE D5
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-1618
Mailing Address - Country:US
Mailing Address - Phone:201-337-9496
Mailing Address - Fax:201-337-5830
Practice Address - Street 1:9 POST RD
Practice Address - Street 2:SUITE D5
Practice Address - City:OAKLAND
Practice Address - State:NJ
Practice Address - Zip Code:07436-1618
Practice Address - Country:US
Practice Address - Phone:201-337-9496
Practice Address - Fax:201-337-5830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty