Healthcare Provider Details

I. General information

NPI: 1053025213
Provider Name (Legal Business Name): DDS ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2023
Last Update Date: 01/11/2023
Certification Date: 01/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 US HIGHWAY 9
ENGLISHTOWN NJ
07726-8280
US

IV. Provider business mailing address

308 US HIGHWAY 9
ENGLISHTOWN NJ
07726-8280
US

V. Phone/Fax

Practice location:
  • Phone: 732-538-2000
  • Fax: 732-538-7070
Mailing address:
  • Phone: 732-538-2000
  • Fax: 732-538-7070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BORIS KLEYMAN
Title or Position: OWNER
Credential: DDS
Phone: 732-803-1948