Provider Demographics
NPI:1962533158
Name:LEJTMAN, SAUL HOWARD (DMD)
Entity type:Individual
Prefix:DR
First Name:SAUL
Middle Name:HOWARD
Last Name:LEJTMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 COUNTY RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-1854
Mailing Address - Country:US
Mailing Address - Phone:201-568-1190
Mailing Address - Fax:201-568-0558
Practice Address - Street 1:120 COUNTY RD
Practice Address - Street 2:SUITE 203
Practice Address - City:TENAFLY
Practice Address - State:NJ
Practice Address - Zip Code:07670-1854
Practice Address - Country:US
Practice Address - Phone:201-568-1190
Practice Address - Fax:201-568-0558
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0179451223G0001X
NY044018-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice