Healthcare Provider Details
I. General information
NPI: 1205754892
Provider Name (Legal Business Name): RD DENTAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
537 KEARNY AVE STE A
KEARNY NJ
07032-2713
US
IV. Provider business mailing address
537 KEARNY AVE STE A
KEARNY NJ
07032-2713
US
V. Phone/Fax
- Phone: 201-246-1233
- Fax:
- Phone: 973-214-9033
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
REMI
LERCH
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 973-214-9033