Healthcare Provider Details

I. General information

NPI: 1851256267
Provider Name (Legal Business Name): PHILLIPSBURG DENTAL STUDIO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 PROSPECT AVE
PHILLIPSBURG NJ
08865-1518
US

IV. Provider business mailing address

3785 AMHERST RD
ALLENTOWN PA
18104-3468
US

V. Phone/Fax

Practice location:
  • Phone: 484-634-6792
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JONATHAN SALIBY
Title or Position: PARTNER
Credential: D.M.D
Phone: 484-634-6792