Provider Demographics
NPI:1548482581
Name:PIZZALE AND PIZZALE D.M.D, LLC
Entity type:Organization
Organization Name:PIZZALE AND PIZZALE D.M.D, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:PIZZALE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:908-221-0700
Mailing Address - Street 1:100 PILL HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERNARDSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07924-2804
Mailing Address - Country:US
Mailing Address - Phone:908-204-0969
Mailing Address - Fax:
Practice Address - Street 1:93 S MAPLE AVE
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-1230
Practice Address - Country:US
Practice Address - Phone:908-221-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0179401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty