Provider Demographics
NPI:1366618712
Name:SACKS & SCHWARZWALD
Entity type:Organization
Organization Name:SACKS & SCHWARZWALD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:SACKS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-383-4421
Mailing Address - Street 1:39 NEWTON SPARTA RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-2773
Mailing Address - Country:US
Mailing Address - Phone:973-383-4421
Mailing Address - Fax:
Practice Address - Street 1:39 NEWTON SPARTA RD
Practice Address - Street 2:BUILDING A
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2773
Practice Address - Country:US
Practice Address - Phone:973-383-4421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental