Heller, Michael Benjamin

Heller, Michael Benjamin is an sole proprietor health care provider with primary practice located at 120 County Rd , Tenafly NJ 07670-1854. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Heller, Michael Benjamin can be contacted via phone (201) 568-1190.

Contact Information

Primary practice address
120 County Rd Tenafly NJ 07670-1854
Phone: (201) 568-1190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D04070200 New Jersey

Profile Details

NPI number 1750501789
LBN Legal business name Heller, Michael Benjamin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750501789 NPPES
New Jersey MEDICAID 0111287

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