Healthcare Provider Details

I. General information

NPI: 1710840665
Provider Name (Legal Business Name): LEONARD RESNICK DDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

841 FRANKLIN AVE STE 7
FRANKLIN LAKES NJ
07417-1418
US

IV. Provider business mailing address

841 FRANKLIN AVE STE 7
FRANKLIN LAKES NJ
07417-1418
US

V. Phone/Fax

Practice location:
  • Phone: 201-891-9595
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: JENNY GARCIA-ROCHA
Title or Position: PAYER ENROLLMENT MANAGER
Credential:
Phone: 972-869-3789