MEDICARE: DR. ZACH ORDEN D.D.S.

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
1	1223G0001X	General Practice Dentistry	13972	NJ

General Provider Information

NPI Number	:	1154540839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZACH ORDEN D.D.S.

Provider Business Mailing Address
First Line	:	422 PASCACK RD
Second Line	:
City	:	TOWNSHIP OF WASHINGTON
State	:	NJ
Zip	:	07676-4837
Country	:	US
Telephone Number	:	201-664-8884
Fax Number	:

Provider Business Practice Location Address
First Line	:	422 PASCACK RD
Second Line	:
City	:	TOWNSHIP OF WASHINGTON
State	:	NJ
Zip	:	07676-4837
Country	:	US
Telephone Number	:	201-664-8884
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/08/2007

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