Flanders Pediatric Dentistry, LLC
Organization Active NPI Pediatric Dentistry · Flanders, NJ
NPI 1376586032 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1376586032
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 22DI01065800 (NJ)
- Legal business name
- FLANDERS PEDIATRIC DENTISTRY, LLC
- Practice address
- 230 Route 206
Flanders, NJ 07836-9262 - Phone
- (973) 927-2260
- Fax
- (973) 927-8356
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Edward M. Sonnenberg, DDS
- Title
- President
- Phone
- (973) 927-2260
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | 22DI01065800 | NJ | Yes |
Addresses
Primary practice location
230 Route 206
Flanders, NJ 07836-9262
Mailing address
230 Route 206
Flanders, NJ 07836-9189
Phone (973) 927-2260
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033205 | Medicaid | NJ |
Other providers in Flanders, NJ
- Lorraine Fierro
- Nicole Fino
- Flanders Chiropractic Center
- Flanders Family Eye Care, LLC
- Flanders Pediatric Dentistry & Orthodontics LLC
- Flanders RX LLC
- Jacob Fleischman
- Cristina Fleming
- Samantha Frank
- Stephanie Fredericka
All providers in Flanders, NJ · Pediatric Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.