Healthcare Provider Details

I. General information

NPI: 1891643987
Provider Name (Legal Business Name): TDS JERSEY CITY HEIGHTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

741 SECAUCUS RD
JERSEY CITY NJ
07307-2565
US

IV. Provider business mailing address

741 SECAUCUS RD
JERSEY CITY NJ
07307-2565
US

V. Phone/Fax

Practice location:
  • Phone: 201-754-1100
  • Fax:
Mailing address:
  • Phone: 201-754-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL SOKOL
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 646-763-3148