Healthcare Provider Details

I. General information

NPI: 1376893552
Provider Name (Legal Business Name): UMUT MURAT CAGLAR D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2012
Last Update Date: 04/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2333 MORRIS AVE C-101
UNION NJ
07083-5714
US

IV. Provider business mailing address

652-658 1ST STREET 4D
HOBOKEN NJ
07030
US

V. Phone/Fax

Practice location:
  • Phone: 215-432-7984
  • Fax:
Mailing address:
  • Phone: 215-432-7984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number28303
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number039381
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI02523700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: