Provider Demographics
NPI:1447447867
Name:BERNHARD, JOEL AUGUSTIN (DMD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:AUGUSTIN
Last Name:BERNHARD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40B EAGLE ROCK AVE
Mailing Address - Street 2:B
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-3104
Mailing Address - Country:US
Mailing Address - Phone:973-887-9393
Mailing Address - Fax:
Practice Address - Street 1:40 EAGLE ROCK AVE
Practice Address - Street 2:B
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-3104
Practice Address - Country:US
Practice Address - Phone:973-887-9393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-30
Last Update Date:2007-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI136981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice