Healthcare Provider Details

I. General information

NPI: 1356554182
Provider Name (Legal Business Name): TRI-COUNTY DENTAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 07/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 N WASHINGTON AVE
DUNELLEN NJ
08812-1246
US

IV. Provider business mailing address

208 N WASHINGTON AVE
DUNELLEN NJ
08812-1246
US

V. Phone/Fax

Practice location:
  • Phone: 732-968-2727
  • Fax:
Mailing address:
  • Phone: 732-968-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number22DIO1656900
License Number StateNJ

VIII. Authorized Official

Name: DR. MEHDI SABER
Title or Position: EXECUTIVE OFFICER
Credential: DDS
Phone: 908-709-6777