Provider Demographics
NPI:1053555300
Name:ADMSA L.L.C.
Entity type:Organization
Organization Name:ADMSA L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZEV
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-597-9010
Mailing Address - Street 1:315 E NORTHFIELD RD STE 2F
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4800
Mailing Address - Country:US
Mailing Address - Phone:973-597-9010
Mailing Address - Fax:973-597-9008
Practice Address - Street 1:315 E NORTHFIELD RD STE 2F
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4800
Practice Address - Country:US
Practice Address - Phone:973-597-9010
Practice Address - Fax:973-597-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01903100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty