| Organization Name: | JAYATI C. BHATTACHARYYA DDS PC |
| NPI Number: | 1063856128 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAYATI C. BHATTACHARYYA (DOCTOR/OWNER) |
| Mailing Address: | 702 N Beers St Ste 3 Holmdel |
| State: | NJ US |
| Postal Code: | 077331510 |
| Phone Number: | 7327393535 |
| Fax Number: | |
| NPI Enumeration Date: | 04/19/2013 |
| NPI Last Update Date: | 04/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 22D102331201 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |