Provider Demographics
NPI:1912127531
Name:TORDOYA, FERNANDO (DDS)
Entity Type:Individual
Prefix:DR
First Name:FERNANDO
Middle Name:
Last Name:TORDOYA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 SKYLINE LAKE DR STE 8
Mailing Address - Street 2:
Mailing Address - City:RINGWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07456-1950
Mailing Address - Country:US
Mailing Address - Phone:201-709-5395
Mailing Address - Fax:
Practice Address - Street 1:16 SKYLINE LAKE DR STE 8
Practice Address - Street 2:
Practice Address - City:RINGWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07456-1950
Practice Address - Country:US
Practice Address - Phone:862-330-3021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2020-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI022922001223G0001X
NY0532021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice