IndividualActive
Basiliso Tiu, DMD
NPI 1003020512 · Dentist · Edgewater, NJ
Provider details
- NPI number
- 1003020512
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 22DI01911700 (NJ)
Specialties & taxonomies
Dental Providers
Practice location
725 River Rd
Suite 104 Edgewater Plaza
Edgewater, NJ 07020
Phone: (201) 943-6644
Approximate (ZIP-level) locationGet directions
Mailing address
725 River Rd
Edgewater, NJ 07020
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.