Healthcare Provider Details

I. General information

NPI: 1861556169
Provider Name (Legal Business Name): DENTAL HORIZONS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 02/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 ROUTE 10 SUITE 6
SUCCASUNNA NJ
07876
US

IV. Provider business mailing address

281 ROUTE 10 E SUITE #6
SUCCASUNNA NJ
07876-1378
US

V. Phone/Fax

Practice location:
  • Phone: 973-584-2600
  • Fax: 973-584-5247
Mailing address:
  • Phone: 973-584-2600
  • Fax: 973-584-5247

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 Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ROBERT SAMPIER
Title or Position: DENTIST
Credential: D.M.D.
Phone: 973-584-2600