| Jonathan A Nitche Dmd Llc | |
| 
					556 Eagle Rock Ave Suite 103 Roseland NJ 07068-1503  | |
| (973) 228-5545 | |
| (973) 228-3863 | 
| Full Name | Jonathan A Nitche Dmd Llc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 556 Eagle Rock Ave, Roseland, New Jersey | 
| Authorized Official Name and Position | Jonathan Albert Nitche (OWNER) | 
| Authorized Official Contact | 9732285545 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jonathan A Nitche Dmd Llc 556 Eagle Rock Ave Suite 103 Roseland NJ 07068-1503 Ph: (973) 228-5545  | Jonathan A Nitche Dmd Llc 556 Eagle Rock Ave Suite 103 Roseland NJ 07068-1503 Ph: (973) 228-5545  | 
| NPI Number | 1366616393 | 
|---|---|
| Provider Enumeration Date | 04/22/2008 | 
| Last Update Date | 04/22/2008 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366616393 | NPI | - | NPPES | 
| 1700974664 | Other | INDIVIDUAL NPI | |
| 1114941333 | Other | INDIVIDUAL NPI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21571 (New Jersey) | Primary | 
Frederick J Carbone Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 157 Eagle Rock Ave, Roseland, NJ 07068 Phone: 973-228-0039 Fax: 973-228-9073  | |
Justin Dinowitz Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 556 Eagle Rock Ave Ste 109, Roseland, NJ 07068 Phone: 862-505-1002  |