| Organization Name: | JOSEPH D. MIRANDA, D.M.D. |
| NPI Number: | 1568683977 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH DANIEL MIRANDA (OWNER) |
| Mailing Address: | 279 Whippany Rd Whippany |
| State: | NJ US |
| Postal Code: | 079811941 |
| Phone Number: | 9735030988 |
| Fax Number: | 9738848724 |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 11/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | DI16158 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |