Healthcare Provider Details

I. General information

NPI: 1578349031
Provider Name (Legal Business Name): JOHN V BENDER JR. DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2023
Last Update Date: 08/31/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 NORTH AVE. W (ROUTE 28), BENDER & TODARO DENTISTRY
GARWOOD NJ
07027
US

IV. Provider business mailing address

54 NORTH AVE. W (ROUTE 28), BENDER & TODARO DENTISTRY
GARWOOD NJ
07027
US

V. Phone/Fax

Practice location:
  • Phone: 908-654-3311
  • Fax: 908-654-7522
Mailing address:
  • Phone: 908-654-3311
  • Fax: 908-654-7522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number22DI02940500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: