Provider Demographics
NPI:1881731743
Name:ADVANCED FAMILY DENTISTRY LLC
Entity type:Organization
Organization Name:ADVANCED FAMILY DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARJIT
Authorized Official - Middle Name:S
Authorized Official - Last Name:TAGGAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:609-443-6700
Mailing Address - Street 1:300 PRINCETON HIGHTSTOWN RD # A
Mailing Address - Street 2:SUITE 104 BUILDING A
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-1411
Mailing Address - Country:US
Mailing Address - Phone:609-443-6700
Mailing Address - Fax:609-443-0442
Practice Address - Street 1:300 PRINCETON HIGHTSTOWN RD # A
Practice Address - Street 2:SUITE 104 BUILDING A
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-1411
Practice Address - Country:US
Practice Address - Phone:609-443-6700
Practice Address - Fax:609-443-0442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD182541223G0001X
NJDI0217921223G0001X
NJD179191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty