Provider Demographics
NPI:1447881081
Name:FAMILY SMILES OF NORTH JERSEY
Entity type:Organization
Organization Name:FAMILY SMILES OF NORTH JERSEY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:TORDOYA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:862-330-3021
Mailing Address - Street 1:114 DARROW DR
Mailing Address - Street 2:
Mailing Address - City:NORTH HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-2719
Mailing Address - Country:US
Mailing Address - Phone:862-330-3021
Mailing Address - Fax:862-330-3023
Practice Address - Street 1:16 SKYLINE LAKE DR STE 8
Practice Address - Street 2:
Practice Address - City:RINGWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07456-1950
Practice Address - Country:US
Practice Address - Phone:201-709-5395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-02
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental