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Contact Information

OAK RIDGE FAMILY DENTAL LAKESIDE LLC
174 EDISON RD
LAKE HOPATCONG, NJ07849-2217
 Phone: 973-663-1174
 Fax: 973-663-9138
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Therapist

125J00000X
Indicates primary specialty

NPI Profile & details for OAK RIDGE FAMILY DENTAL LAKESIDE LLC · (Female)

NPI Number 1336596857
Status Active
Credentials
Entity Individual
Enumeration date 05/16/2016
Last updated 05/16/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 02327602
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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