Healthcare Provider Details

I. General information

NPI: 1023745502
Provider Name (Legal Business Name): MARGIN DENTAL SOLUTIONS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2022
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 PHELPS AVE
TENAFLY NJ
07670-2819
US

IV. Provider business mailing address

19 PHELPS AVE
TENAFLY NJ
07670-2819
US

V. Phone/Fax

Practice location:
  • Phone: 201-377-7374
  • Fax: 201-777-4148
Mailing address:
  • Phone: 201-377-7374
  • Fax: 201-777-4148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JACOB SHRAYMAN
Title or Position: OWNER
Credential: DDS
Phone: 973-239-3555