Healthcare Provider Details

I. General information

NPI: 1780496992
Provider Name (Legal Business Name): SARAH CHEN, DMD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2025
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 MARKET ST STE 3
SADDLE BROOK NJ
07663-5401
US

IV. Provider business mailing address

160 MARKET ST STE 3
SADDLE BROOK NJ
07663-5401
US

V. Phone/Fax

Practice location:
  • Phone: 201-779-3066
  • Fax: 201-843-0061
Mailing address:
  • Phone: 201-779-3066
  • Fax: 201-843-0061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH CHEN
Title or Position: OWNER
Credential: DMD
Phone: 201-779-3066