Provider Demographics
NPI:1720514557
Name:FLEMINGTON DENTAL ARTS PA
Entity Type:Organization
Organization Name:FLEMINGTON DENTAL ARTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVALIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-452-4629
Mailing Address - Street 1:4 WALTER E FORAN BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-4664
Mailing Address - Country:US
Mailing Address - Phone:908-788-1661
Mailing Address - Fax:
Practice Address - Street 1:4 WALTER E FORAN BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4664
Practice Address - Country:US
Practice Address - Phone:908-788-1661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty