Provider Demographics
NPI:1548364854
Name:HELLINGER, LAURA C (DMD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:C
Last Name:HELLINGER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:C
Other - Last Name:HELLINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:39 S FULLERTON AVE
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042
Mailing Address - Country:US
Mailing Address - Phone:973-655-1919
Mailing Address - Fax:973-655-1557
Practice Address - Street 1:39 S FULLERTON AVE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042
Practice Address - Country:US
Practice Address - Phone:973-655-1919
Practice Address - Fax:973-655-1557
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ13194122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist