Provider Demographics
NPI:1669792412
Name:SAFER, ABRAHAM N (DDS)
Entity type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:N
Last Name:SAFER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 W COUNTY LINE RD
Mailing Address - Street 2:SUITE B3
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-2009
Mailing Address - Country:US
Mailing Address - Phone:732-226-6800
Mailing Address - Fax:
Practice Address - Street 1:2080 W COUNTY LINE RD
Practice Address - Street 2:SUITE B3
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-2009
Practice Address - Country:US
Practice Address - Phone:732-226-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055655122300000X
NJ22DI025520001223X0400X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics