Provider Demographics
NPI:1831906411
Name:SALIZZONI DENTAL ASSOCIATES LLC
Entity type:Organization
Organization Name:SALIZZONI DENTAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:SALIZZONI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:201-265-8600
Mailing Address - Street 1:449 OLD HOOK RD
Mailing Address - Street 2:
Mailing Address - City:EMERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07630-1323
Mailing Address - Country:US
Mailing Address - Phone:201-265-8600
Mailing Address - Fax:
Practice Address - Street 1:449 OLD HOOK RD
Practice Address - Street 2:
Practice Address - City:EMERSON
Practice Address - State:NJ
Practice Address - Zip Code:07630-1323
Practice Address - Country:US
Practice Address - Phone:201-265-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental