MEDICARE: SEYMON ROYTBERG DDS

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	050677	NY
2	122300000X	Dentist	22DI02237800	NJ

General Provider Information

NPI Number	:	1164443297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEYMON ROYTBERG DDS

Provider Business Mailing Address
First Line	:	125 RIVER RD STE 104
Second Line	:
City	:	EDGEWATER
State	:	NJ
Zip	:	07020-1002
Country	:	US
Telephone Number	:	201-941-0088
Fax Number	:	201-604-7946

Provider Business Practice Location Address
First Line	:	125 RIVER RD # 104
Second Line	:
City	:	EDGEWATER
State	:	NJ
Zip	:	07020-1002
Country	:	US
Telephone Number	:	201-941-0088
Fax Number	:	201-604-7946

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

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	02/18/2026

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Directions to “ SEYMON ROYTBERG DDS” Practice Location

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