Provider Demographics
NPI:1922418276
Name:MORRIS COUNTY ENDODONTICS LLC
Entity Type:Organization
Organization Name:MORRIS COUNTY ENDODONTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:DOUGLASS
Authorized Official - Last Name:AUE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:973-625-3384
Mailing Address - Street 1:141 US HIGHWAY 46
Mailing Address - Street 2:LL
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-4018
Mailing Address - Country:US
Mailing Address - Phone:973-625-3384
Mailing Address - Fax:
Practice Address - Street 1:141 US HIGHWAY 46
Practice Address - Street 2:LL
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-4018
Practice Address - Country:US
Practice Address - Phone:973-625-3384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI024331300261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental