Healthcare Provider Details

I. General information

NPI: 1982584942
Provider Name (Legal Business Name): OBOUR DENTAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2025
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 SPRINGFIELD AVE STE 100
BERKELEY HEIGHTS NJ
07922-1264
US

IV. Provider business mailing address

261 SPRINGFIELD AVE STE 100
BERKELEY HEIGHTS NJ
07922-1264
US

V. Phone/Fax

Practice location:
  • Phone: 908-898-1888
  • Fax: 908-898-1877
Mailing address:
  • Phone: 908-898-1888
  • Fax: 908-898-1877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANCO OBOUR JR.
Title or Position: OWNER
Credential: DMD
Phone: 908-566-8593