Provider Demographics
NPI:1982747002
Name:ANTOINETTE MARIE TAUK
Entity Type:Organization
Organization Name:ANTOINETTE MARIE TAUK
Other - Org Name:ANTOINETTE MARIE TAUK DDS LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTOINETTE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TAUK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:732-940-0092
Mailing Address - Street 1:2300 STATE ROUTE 27
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1134
Mailing Address - Country:US
Mailing Address - Phone:732-940-0092
Mailing Address - Fax:732-940-4118
Practice Address - Street 1:2300 STATE ROUTE 27
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1134
Practice Address - Country:US
Practice Address - Phone:732-940-0092
Practice Address - Fax:732-940-4118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0189441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty