Healthcare Provider Details

I. General information

NPI: 1508968793
Provider Name (Legal Business Name): RICHARD R SALB DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2185 LEMOINE AVE
FORT LEE NJ
07024-6036
US

IV. Provider business mailing address

2185 LEMOINE AVE
FORT LEE NJ
07024-6036
US

V. Phone/Fax

Practice location:
  • Phone: 201-947-4550
  • Fax:
Mailing address:
  • Phone: 201-947-4550
  • Fax: 201-947-0971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD R SALB
Title or Position: OWNER
Credential: DDS
Phone: 201-947-4550