Healthcare Provider Details

I. General information

NPI: 1164515458
Provider Name (Legal Business Name): NARPAT S. JAIN DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2006
Last Update Date: 03/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 PIERMONT ROAD
TENAFLY NJ
07670
US

IV. Provider business mailing address

101 PIERMONT ROAD
TENAFLY NJ
07670
US

V. Phone/Fax

Practice location:
  • Phone: 201-501-8282
  • Fax: 201-501-8380
Mailing address:
  • Phone: 201-501-8282
  • Fax: 201-501-8380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDI019380
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number046104
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: