Provider Demographics
NPI:1831260983
Name:CAZES FAMILY DENTISTRY, LLC
Entity type:Organization
Organization Name:CAZES FAMILY DENTISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAZES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:908-852-1100
Mailing Address - Street 1:358 NAUGHRIGHT RD
Mailing Address - Street 2:
Mailing Address - City:LONG VALLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07853-3806
Mailing Address - Country:US
Mailing Address - Phone:908-852-1100
Mailing Address - Fax:
Practice Address - Street 1:358 NAUGHRIGHT RD
Practice Address - Street 2:
Practice Address - City:LONG VALLEY
Practice Address - State:NJ
Practice Address - Zip Code:07853-3806
Practice Address - Country:US
Practice Address - Phone:908-852-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDIO 184461223G0001X
NJDIO 184491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty