Healthcare Provider Details

I. General information

NPI: 1245472653
Provider Name (Legal Business Name): BARRY A KAPLAN, DMD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2009
Last Update Date: 03/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 BELLEVILLE AVE
BLOOMFIELD NJ
07003-3647
US

IV. Provider business mailing address

301 BELLEVILLE AVE
BLOOMFIELD NJ
07003-3647
US

V. Phone/Fax

Practice location:
  • Phone: 973-743-3825
  • Fax: 973-743-2485
Mailing address:
  • Phone: 973-743-3825
  • Fax: 973-743-2485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberDI 16573
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. BARRY A KAPLAN
Title or Position: OWNER
Credential: DMD
Phone: 973-743-3825