Healthcare Provider Details

I. General information

NPI: 1104749324
Provider Name (Legal Business Name): ALLENDALE DENTAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 W ALLENDALE AVE
ALLENDALE NJ
07401-1739
US

IV. Provider business mailing address

42 W ALLENDALE AVE
ALLENDALE NJ
07401-1739
US

V. Phone/Fax

Practice location:
  • Phone: 201-760-1116
  • Fax: 201-760-1134
Mailing address:
  • Phone: 201-760-1116
  • Fax: 201-760-1134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN GREGORY SARAYDARIAN
Title or Position: PRESIDENT
Credential: DMD
Phone: 201-760-1116