Provider Demographics
NPI:1982813572
Name:UNGER, MICHAEL WARREN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:WARREN
Last Name:UNGER
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 1:13 DEXTER DR S
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-1553
Mailing Address - Country:US
Mailing Address - Phone:908-204-0057
Mailing Address - Fax:908-204-0058
Practice Address - Street 1:13 DEXTER DR S
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-1553
Practice Address - Country:US
Practice Address - Phone:908-204-0057
Practice Address - Fax:908-204-0058
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D100734100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist