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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

NPI Number 1336596857
LBN Legal business name OAK RIDGE FAMILY DENTAL LAKESIDE LLC
Authorized official CHRIS MERWIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2016
Last updated 05/16/2016 - About 10 years ago
Identifiers
NJ License # 02327602
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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