Provider Demographics
NPI:1447625447
Name:PARIS AND BETANCOURT, DMD
Entity type:Organization
Organization Name:PARIS AND BETANCOURT, DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:J
Authorized Official - Last Name:PARIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:908-527-0880
Mailing Address - Street 1:570 N BROAD ST
Mailing Address - Street 2:SUITE #6
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-3314
Mailing Address - Country:US
Mailing Address - Phone:908-353-3790
Mailing Address - Fax:908-355-1257
Practice Address - Street 1:570 N BROAD ST
Practice Address - Street 2:SUITE #6
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-3314
Practice Address - Country:US
Practice Address - Phone:908-353-3790
Practice Address - Fax:908-355-1257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ11401261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental