Provider Demographics
NPI:1962505545
Name:DR. NASIR GENERAL DENTISTRY
Entity Type:Organization
Organization Name:DR. NASIR GENERAL DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NASIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELLATIF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-483-5902
Mailing Address - Street 1:701 FRANK E RODGERS BLVD NORTH
Mailing Address - Street 2:SUITE 5
Mailing Address - City:HARRISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07029
Mailing Address - Country:US
Mailing Address - Phone:973-483-5902
Mailing Address - Fax:973-483-0123
Practice Address - Street 1:701 FRANK E RODGERS BLVD NORTH
Practice Address - Street 2:SUITE 5
Practice Address - City:HARRISON
Practice Address - State:NJ
Practice Address - Zip Code:07029
Practice Address - Country:US
Practice Address - Phone:973-483-5902
Practice Address - Fax:973-483-0123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty