Provider Demographics
NPI:1942455456
Name:JUDITH SAMARA POST D.M.D.,LLC
Entity Type:Organization
Organization Name:JUDITH SAMARA POST D.M.D.,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:SAMARA
Authorized Official - Last Name:POST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-338-9595
Mailing Address - Street 1:1460 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-3014
Mailing Address - Country:US
Mailing Address - Phone:973-338-9595
Mailing Address - Fax:973-338-9511
Practice Address - Street 1:1460 BROAD ST
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-3014
Practice Address - Country:US
Practice Address - Phone:973-338-9595
Practice Address - Fax:973-338-9511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ126141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty