Provider Demographics
NPI:1770668139
Name:BLOCH BLOCH AND GERTLER DDS PA
Entity Type:Organization
Organization Name:BLOCH BLOCH AND GERTLER DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:GERTLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-837-3000
Mailing Address - Street 1:100 STATE STREET
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:TEANEAK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666
Mailing Address - Country:US
Mailing Address - Phone:201-837-3000
Mailing Address - Fax:201-837-0997
Practice Address - Street 1:100 STATE STREET
Practice Address - Street 2:SUITE 1D
Practice Address - City:TEANEAK
Practice Address - State:NJ
Practice Address - Zip Code:07666
Practice Address - Country:US
Practice Address - Phone:201-837-3000
Practice Address - Fax:201-837-0997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty