Provider Demographics
NPI:1538753165
Name:SKYLINE DENTAL DESIGNS PC
Entity type:Organization
Organization Name:SKYLINE DENTAL DESIGNS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-268-3288
Mailing Address - Street 1:800 AVE AT PORT IMPERIAL BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:WEEHAWKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07086-6983
Mailing Address - Country:US
Mailing Address - Phone:917-774-2831
Mailing Address - Fax:
Practice Address - Street 1:800 AVE AT PORT IMPERIAL BLVD STE 2
Practice Address - Street 2:
Practice Address - City:WEEHAWKEN
Practice Address - State:NJ
Practice Address - Zip Code:07086-6983
Practice Address - Country:US
Practice Address - Phone:917-774-2831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental