Individual provider · Type 1 NPI

Jon Ethan Golub, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Fort Lee, NJ

NPI number 1285722769 Active

Practice location

2185 Lemoine Ave
Fort Lee, NJ 07024-6036

Call (201) 944-9208 Map

Mailing address

2185 Lemoine Avenue
Fort Lee, NJ 07024

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1285722769

Jon Ethan Golub, DMD's National Provider Identifier is 1285722769, issued on Oct 10, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fort Lee, NJ. The record was last updated on Jul 8, 2007.