Healthcare Provider Details

I. General information

NPI: 1639393416
Provider Name (Legal Business Name): PLISHTIN AND HAAS DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 PLEASANT VALLEY WAY
WEST ORANGE NJ
07052
US

IV. Provider business mailing address

502 PLEASANT VALLEY WAY
WEST ORANGE NJ
07052
US

V. Phone/Fax

Practice location:
  • Phone: 973-736-1569
  • Fax: 973-731-6772
Mailing address:
  • Phone: 973-736-1569
  • Fax: 973-731-6772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. BRUCE RICHARD HAAS
Title or Position: PARTNER
Credential: DDS
Phone: 973-736-1569