Provider Demographics
NPI:1609234442
Name:ACADEMY DENTAL OF HAMILTON PA
Entity type:Organization
Organization Name:ACADEMY DENTAL OF HAMILTON PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAVLEEN
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:THIND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:609-403-0710
Mailing Address - Street 1:731 ROUTE 33
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-4418
Mailing Address - Country:US
Mailing Address - Phone:609-403-0710
Mailing Address - Fax:609-228-6078
Practice Address - Street 1:731 ROUTE 33
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-4418
Practice Address - Country:US
Practice Address - Phone:609-403-0710
Practice Address - Fax:609-228-6078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-08
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1025247001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty