Provider Demographics
NPI:1922524511
Name:MORCHEL DENTAL ENTERPRISES
Entity Type:Organization
Organization Name:MORCHEL DENTAL ENTERPRISES
Other - Org Name:SADDLE BROOK FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LOTA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:201-788-2607
Mailing Address - Street 1:289 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-6048
Mailing Address - Country:US
Mailing Address - Phone:201-368-9222
Mailing Address - Fax:201-368-0853
Practice Address - Street 1:289 MARKET ST
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-6048
Practice Address - Country:US
Practice Address - Phone:201-368-9222
Practice Address - Fax:201-368-0853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ17804261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental