Healthcare Provider Details

I. General information

NPI: 1750938403
Provider Name (Legal Business Name): JOEL D SINGER DMD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2019
Last Update Date: 08/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 BRIDGE PLZ N
FORT LEE NJ
07024-5051
US

IV. Provider business mailing address

327 BRIDGE PLZ N
FORT LEE NJ
07024-5051
US

V. Phone/Fax

Practice location:
  • Phone: 201-592-6222
  • Fax: 201-592-6780
Mailing address:
  • Phone: 201-592-6222
  • Fax: 201-592-6780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: JOEL SINGER
Title or Position: OWNER
Credential:
Phone: 201-592-6222