Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fanwood Family Dental

Organization General Practice Dentistry · NPI 1275653388

Fanwood Family Dental is a General Practice Dentistry in Fanwood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007

Practice location Address checks out

225 N Martine Ave
Fanwood, NJ 07023-1336
Phone: (908) 322-7111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22DI02164702 (NJ)

Record details

NPI number1275653388
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rushabh Shah — President · (908) 322-7111
NPI enumeratedMarch 30, 2007
Last updated in NPPESAugust 22, 2020
Mailing address225 N Martine Ave, Fanwood, NJ 07023-1336

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