Provider Demographics
NPI:1023745502
Name:MARGIN DENTAL SOLUTIONS, PC
Entity type:Organization
Organization Name:MARGIN DENTAL SOLUTIONS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:SHRAYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-213-0214
Mailing Address - Street 1:113 E PASSAIC ST
Mailing Address - Street 2:
Mailing Address - City:MAYWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07607-1342
Mailing Address - Country:US
Mailing Address - Phone:201-546-8025
Mailing Address - Fax:201-880-1141
Practice Address - Street 1:113 E PASSAIC ST
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07607-1342
Practice Address - Country:US
Practice Address - Phone:201-546-8025
Practice Address - Fax:201-880-1141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental