Provider Demographics
NPI:1881227056
Name:NEW JERSEY ORAL SURGERY & DENTAL IMPLANTS LLC
Entity Type:Organization
Organization Name:NEW JERSEY ORAL SURGERY & DENTAL IMPLANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTEN
Authorized Official - Middle Name:N
Authorized Official - Last Name:LADMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-972-0002
Mailing Address - Street 1:87 ROUTE 520
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1241
Mailing Address - Country:US
Mailing Address - Phone:732-972-0002
Mailing Address - Fax:732-972-5636
Practice Address - Street 1:87 ROUTE 520
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1241
Practice Address - Country:US
Practice Address - Phone:732-972-0002
Practice Address - Fax:732-972-5636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty