Stephen Tabori, D.M.D.
Individual provider Active NPI Dentist · South River, NJ
NPI 1265644256 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1265644256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DI 21259 (NJ)
- Practice address
- 171 Main Steet
Suite 4
South River, NJ 08882 - Phone
- (732) 698-9595
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI 21259 | NJ | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DI 21259 | NJ | Yes |
Addresses
Primary practice location
171 Main Steet
Suite 4
South River, NJ 08882
Mailing address
67 Rieder Rd
Spotswood, NJ 08884
Phone (732) 251-0313
Other providers in South River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.