Healthcare Provider Details

I. General information

NPI: 1659536175
Provider Name (Legal Business Name): POMPTON DENTAL ARTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2008
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 NEWARK POMPTON TPKE
RIVERDALE NJ
07457-1186
US

IV. Provider business mailing address

27 NEWARK POMPTON TPKE
RIVERDALE NJ
07457-1186
US

V. Phone/Fax

Practice location:
  • Phone: 973-835-0702
  • Fax: 973-835-1383
Mailing address:
  • Phone: 973-835-0702
  • Fax: 973-835-1383

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. RYAN ZLOTKOWSKI
Title or Position: OWNER
Credential:
Phone: 973-835-0702