Provider Demographics
NPI:1013115187
Name:ISOLA, EUGENE A III (DDS)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:A
Last Name:ISOLA
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HOSPITAL PLAZA SUITE 410
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857
Mailing Address - Country:US
Mailing Address - Phone:732-360-2500
Mailing Address - Fax:732-360-0068
Practice Address - Street 1:2 HOSPITAL PLAZA SUITE 410
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857
Practice Address - Country:US
Practice Address - Phone:732-360-2500
Practice Address - Fax:732-360-0068
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0401811223G0001X
NJDI0177341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice