Provider Demographics
NPI:1740496462
Name:ARBOR DENTAL, P.C.
Entity type:Organization
Organization Name:ARBOR DENTAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ERMOCIDA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:856-665-6999
Mailing Address - Street 1:6650 BROWNING RD
Mailing Address - Street 2:SUITE U-15
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-1479
Mailing Address - Country:US
Mailing Address - Phone:856-665-6999
Mailing Address - Fax:856-662-0608
Practice Address - Street 1:6650 BROWNING RD
Practice Address - Street 2:SUITE U-15
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08109-1479
Practice Address - Country:US
Practice Address - Phone:856-665-6999
Practice Address - Fax:856-662-0608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental