Provider Demographics
NPI:1912765009
Name:THE SMILE STOP FRANKLIN LAKES
Entity Type:Organization
Organization Name:THE SMILE STOP FRANKLIN LAKES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MRUNAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARMAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-739-4088
Mailing Address - Street 1:799 FRANKLIN AVE STE 18
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-1355
Mailing Address - Country:US
Mailing Address - Phone:201-456-4555
Mailing Address - Fax:201-456-4553
Practice Address - Street 1:799 FRANKLIN AVE STE 18
Practice Address - Street 2:
Practice Address - City:FRANKLIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07417-1355
Practice Address - Country:US
Practice Address - Phone:201-456-4555
Practice Address - Fax:201-456-4553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty