Provider Demographics
NPI:1205979085
Name:CALIBER DENTAL
Entity type:Organization
Organization Name:CALIBER DENTAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PREETMOHINDER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:BAGGA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:908-722-1212
Mailing Address - Street 1:1 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-2302
Mailing Address - Country:US
Mailing Address - Phone:908-722-1212
Mailing Address - Fax:908-722-9092
Practice Address - Street 1:1 E HIGH ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2302
Practice Address - Country:US
Practice Address - Phone:908-722-1212
Practice Address - Fax:908-722-9092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI018985122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty