DR. SAMUEL STANLEY TATEM JR. (NPI# 1881804383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881804383 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL STANLEY TATEM JR. |
| Credential | D.D.S. |
| Practice Address |
179 Cedar Ln Ste G Teaneck NJ 07666-4304 |
| Practice Telephone | 2018360029 |
| Practice Fax Number | 2018369529 |
| Mailing Telephone | 2018360029 |
| Mailing Fax Number | 2018369529 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DI17644 | NJ | Dental Providers |
| Street Address |
179 CEDAR LN STE G |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700357597 | Teaneck Dentist LLC | Dentist | 1008 Teaneck Rd, Teaneck, NJ 07666-4516 | 2018-12-06 |
| 1770062622 | Angela Lin | Dentist | 185 Cedar Ln Ste U1, Teaneck, NJ 07666-4303 | 2018-08-11 |
| 1134482102 | Alison Adler | Dentist | 367 Briarcliff Rd, Teaneck, NJ 07666-3005 | 2012-06-24 |
| 1376781096 | Allison Fein Blech | Dentist | 22 Brinkerhoff Ave, Teaneck, NJ 07666-3126 | 2009-02-03 |
| 1497922629 | Emanuel Roman | Dentist | 89 Midwood Road, Teaneck, NJ 07666 | 2008-05-16 |
| 1194939488 | Daniel Shtern | Dentist | 222 Cedar Ln Ste 305, Teaneck, NJ 07666-4313 | 2007-05-09 |
| 1518180140 | Jeffrey Douglas Frankel | Dentist | 639 Teaneck Road, Teaneck, NJ 07666 | 2007-04-11 |
| 1134240286 | Luis A Lecleres | Dentist | 130 Cedar Ln, Apt 5n, Teaneck, NJ 07666-4424 | 2007-04-03 |
| 1801915590 | Joseph Fogel | Dentist | 717 Cedar Ln, Teaneck, NJ 07666-1702 | 2007-03-27 |
| 1467571190 | Jeffrey Mark Levine | Dentist | 603 Rutland Avenue, Teaneck, NJ 07666 | 2007-03-27 |
| Find all providers in TEANECK | ||||
Please comment or provide details below to improve the information on DR. SAMUEL STANLEY TATEM JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.