Provider Demographics
NPI:1841477940
Name:HILLTOP FAMILY DENTAL
Entity type:Organization
Organization Name:HILLTOP FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARDOLINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-522-1133
Mailing Address - Street 1:360 SPRINGFIELD AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-4608
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:360 SPRINGFIELD AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-4608
Practice Address - Country:US
Practice Address - Phone:908-522-1133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty