Provider Demographics
NPI:1780292862
Name:PLATINUM DENTAL GROUP MORRISTOWN, LLC
Entity type:Organization
Organization Name:PLATINUM DENTAL GROUP MORRISTOWN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAPAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:973-993-8303
Mailing Address - Street 1:89 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-8609
Mailing Address - Country:US
Mailing Address - Phone:973-993-8303
Mailing Address - Fax:
Practice Address - Street 1:89 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-8609
Practice Address - Country:US
Practice Address - Phone:973-993-8303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty