Provider Demographics
NPI:1487901799
Name:SOMERSET HILLS ENDODONTICS, PC
Entity type:Organization
Organization Name:SOMERSET HILLS ENDODONTICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEKHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-840-4590
Mailing Address - Street 1:1392 ROUTE 22 WEST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LEBANON
Mailing Address - State:NJ
Mailing Address - Zip Code:08833
Mailing Address - Country:US
Mailing Address - Phone:908-840-4590
Mailing Address - Fax:908-840-4578
Practice Address - Street 1:1392 ROUTE 22 WEST
Practice Address - Street 2:SUITE 2
Practice Address - City:LEBANON
Practice Address - State:NJ
Practice Address - Zip Code:08833
Practice Address - Country:US
Practice Address - Phone:908-766-3535
Practice Address - Fax:908-840-4578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-07
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ212641223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty