Healthcare Provider Details

I. General information

NPI: 1679568588
Provider Name (Legal Business Name): SUZY HARRISON PRESS DDS,MS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/16/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 MADISON AVE SUITE A08
MORRISTOWN NJ
07960-6092
US

IV. Provider business mailing address

95 MADISON AVE SUITE A08
MORRISTOWN NJ
07960-6092
US

V. Phone/Fax

Practice location:
  • Phone: 973-898-6600
  • Fax: 973-898-4712
Mailing address:
  • Phone: 973-898-6600
  • Fax: 973-898-4712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDI16392
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: