Healthcare Provider Details
I. General information
NPI: 1730031873
Provider Name (Legal Business Name): GARDEN STATE DENTAL DESIGN OF MILLBURN
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/11/2026
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
271 MILLBURN AVE FL 1
MILLBURN NJ
07041-1753
US
IV. Provider business mailing address
271 MILLBURN AVE FL 1
MILLBURN NJ
07041-1753
US
V. Phone/Fax
- Phone: 732-669-7227
- Fax:
- Phone: 732-669-7227
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MARIA
SZABELA
Title or Position: PRESIDENT
Credential: MD
Phone: 732-343-0739