Provider Demographics
NPI:1952637365
Name:DENTAL DELIVERY SYSTEMS PA
Entity Type:Organization
Organization Name:DENTAL DELIVERY SYSTEMS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECREATARY TREASURE
Authorized Official - Prefix:MR
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:MELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-256-3912
Mailing Address - Street 1:245 PATERSON AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-4629
Mailing Address - Country:US
Mailing Address - Phone:973-256-3912
Mailing Address - Fax:973-785-2316
Practice Address - Street 1:245 PATERSON AVE
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-4629
Practice Address - Country:US
Practice Address - Phone:973-256-3912
Practice Address - Fax:973-785-2316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty