Provider Demographics
NPI:1679753693
Name:JAVIER, CESAR (DMD)
Entity type:Individual
Prefix:DR
First Name:CESAR
Middle Name:
Last Name:JAVIER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 BENJAMIN AVE
Mailing Address - Street 2:
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-1930
Mailing Address - Country:US
Mailing Address - Phone:201-702-1701
Mailing Address - Fax:
Practice Address - Street 1:249 BENJAMIN AVE
Practice Address - Street 2:
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830-1930
Practice Address - Country:US
Practice Address - Phone:201-702-1701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-07
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 197431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice