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NPI Code Detail

MEDICARE: SOMERSET HILLS ENDODONTICS PC

MEDICARE: SOMERSET HILLS ENDODONTICS PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223E0200XEndodontics21264NJ

General Provider Information

NPI Number : 1053446211
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOMERSET HILLS ENDODONTICS PC
Provider Business Mailing Address
First Line : 10 ANDERSON HILL RD
Second Line :
City : BERNARDSVILLE
State : NJ
Zip : 07924-2323
Country : US
Telephone Number : 908-766-3535
Fax Number : 908-766-3569
Provider Business Practice Location Address
First Line : 10 ANDERSON HILL RD
Second Line :
City : BERNARDSVILLE
State : NJ
Zip : 07924-2323
Country : US
Telephone Number : 908-766-3535
Fax Number : 908-766-3569
Authorized Official
Title or Position : OWNER
Name : DR. IRINA LEKHT
Credential : DMD
Telephone Number : 908-766-3535
Provider Enumeration Date : 02/21/2007
Last Update Date : 10/18/2012

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