Healthcare Provider Details

I. General information

NPI: 1720240799
Provider Name (Legal Business Name): JOSEPH M ARVAY DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 06/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 ROUTE 206 SUITE 305
FLANDERS NJ
07836-9189
US

IV. Provider business mailing address

230 ROUTE 206 SUITE 305
FLANDERS NJ
07836-9189
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 Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number22DI01519501
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: