Provider Demographics
NPI:1720292972
Name:DR.PAUL W. ALBERG, D.M.D., P.C.
Entity Type:Organization
Organization Name:DR.PAUL W. ALBERG, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:P.C.
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:W
Authorized Official - Last Name:ALBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:201-864-4730
Mailing Address - Street 1:3508 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:WEEHAWKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07086-6006
Mailing Address - Country:US
Mailing Address - Phone:201-864-4730
Mailing Address - Fax:
Practice Address - Street 1:3508 PARK AVE
Practice Address - Street 2:
Practice Address - City:WEEHAWKEN
Practice Address - State:NJ
Practice Address - Zip Code:07086-6006
Practice Address - Country:US
Practice Address - Phone:201-864-4730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI013635001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty