Provider Demographics
NPI:1265240451
Name:EISENBERGER AND MEISTER ORTHODONTICS LLC
Entity type:Organization
Organization Name:EISENBERGER AND MEISTER ORTHODONTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:MEISTER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-862-3333
Mailing Address - Street 1:232 TERHUNE AVE # DOCK6
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-3360
Mailing Address - Country:US
Mailing Address - Phone:973-862-3333
Mailing Address - Fax:
Practice Address - Street 1:217 BROOK AVE STE B104
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-3357
Practice Address - Country:US
Practice Address - Phone:973-862-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial SurgeryGroup - Multi-Specialty