Provider Demographics
NPI:1548374861
Name:EMERSON FAMILY DENTAL CARE
Entity type:Organization
Organization Name:EMERSON FAMILY DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:G
Authorized Official - Last Name:MARORANO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-261-6688
Mailing Address - Street 1:466 OLD HOOK RD
Mailing Address - Street 2:SUITE 243
Mailing Address - City:EMERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07630
Mailing Address - Country:US
Mailing Address - Phone:201-261-6688
Mailing Address - Fax:201-261-4110
Practice Address - Street 1:466 OLD HOOK RD
Practice Address - Street 2:SUITE 243
Practice Address - City:EMERSON
Practice Address - State:NJ
Practice Address - Zip Code:07630
Practice Address - Country:US
Practice Address - Phone:201-261-6688
Practice Address - Fax:201-261-4110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ17589122300000X
NJ18359122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty