Provider Demographics
NPI:1851925812
Name:DENTISTRY BY DESIGN DDS
Entity Type:Organization
Organization Name:DENTISTRY BY DESIGN DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GILA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCIANO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:845-641-8987
Mailing Address - Street 1:295 DURHAM AVE UNIT 7
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-2548
Mailing Address - Country:US
Mailing Address - Phone:845-641-8987
Mailing Address - Fax:
Practice Address - Street 1:295 DURHAM AVE UNIT 7
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-2548
Practice Address - Country:US
Practice Address - Phone:845-641-8987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-28
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty