Healthcare Provider Details

I. General information

NPI: 1699616839
Provider Name (Legal Business Name): FLANDERS PEDIATRIC DENTISTRY & ORTHODONTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 US HWY 206 S, BLDG #3, SUITE 305
FLANDERS NJ
07836
US

IV. Provider business mailing address

230 US HWY 206 S, BLDG #3, SUITE 305
FLANDERS NJ
07836
US

V. Phone/Fax

Practice location:
  • Phone: 973-927-2260
  • Fax: 973-927-8356
Mailing address:
  • Phone: 973-927-2260
  • Fax: 973-927-8356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN L. SONNENBERG
Title or Position: CEO
Credential: DDS
Phone: 973-927-2260