Healthcare Provider Details

I. General information

NPI: 1962291781
Provider Name (Legal Business Name): BRITTANY URENA
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2025
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 S WARREN ST
DOVER NJ
07801-4506
US

IV. Provider business mailing address

106 PENNSYLVANIA AVE
HOPELAWN NJ
08861-2261
US

V. Phone/Fax

Practice location:
  • Phone: 973-328-3344
  • Fax:
Mailing address:
  • Phone: 732-925-5975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI03099800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: