Provider Demographics
NPI:1205959103
Name:DENTAL ASSOCIATES OF DENVILLE, P.A.
Entity type:Organization
Organization Name:DENTAL ASSOCIATES OF DENVILLE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:FIGATNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-627-6053
Mailing Address - Street 1:111 BLOOMFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2701
Mailing Address - Country:US
Mailing Address - Phone:973-627-6079
Mailing Address - Fax:
Practice Address - Street 1:111 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2701
Practice Address - Country:US
Practice Address - Phone:973-627-6079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI109851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty