Provider Demographics
NPI:1740346311
Name:SEEMA NERURKAR, DDS, PC
Entity type:Organization
Organization Name:SEEMA NERURKAR, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:NERURKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-256-5100
Mailing Address - Street 1:163 E MAIN ST
Mailing Address - Street 2:2ND FL STE F
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-1711
Mailing Address - Country:US
Mailing Address - Phone:973-256-5100
Mailing Address - Fax:
Practice Address - Street 1:163 E MAIN ST
Practice Address - Street 2:2ND FL STE F
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-1711
Practice Address - Country:US
Practice Address - Phone:973-256-5100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0195011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty