Provider Demographics
NPI:1174394464
Name:ORADELL DENTAL ASSOCIATES
Entity type:Organization
Organization Name:ORADELL DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LIRON
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMZEH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:443-928-5322
Mailing Address - Street 1:800 KINDERKAMACK RD STE 302N
Mailing Address - Street 2:
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-1534
Mailing Address - Country:US
Mailing Address - Phone:201-871-4505
Mailing Address - Fax:
Practice Address - Street 1:800 KINDERKAMACK RD STE 302N
Practice Address - Street 2:
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-1534
Practice Address - Country:US
Practice Address - Phone:201-871-4505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental