Provider Demographics
NPI:1740473214
Name:DENTAL EXCEL P.A.
Entity type:Organization
Organization Name:DENTAL EXCEL P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRTI
Authorized Official - Middle Name:J
Authorized Official - Last Name:TOLIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:732-748-3384
Mailing Address - Street 1:12 LANA DR
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-3440
Mailing Address - Country:US
Mailing Address - Phone:973-748-3384
Mailing Address - Fax:732-748-3386
Practice Address - Street 1:209 E UNION AVE
Practice Address - Street 2:
Practice Address - City:BOUND BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08805-1720
Practice Address - Country:US
Practice Address - Phone:732-748-3384
Practice Address - Fax:732-748-3386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-19
Last Update Date:2007-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 017230122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty