| Advanced Dental Llc | |
|
490 E Main St Denville NJ 07834-2484 | |
| (973) 586-4444 | |
| (973) 586-4455 |
| Full Name | Advanced Dental Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 490 E Main St, Denville, New Jersey |
| Authorized Official Name and Position | Peter D Tsambazis (PERIODONTIST/OWNER) |
| Authorized Official Contact | 9735864444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Llc 490 E Main St Suite 103 Denville NJ 07834-2484 Ph: (973) 586-4444 | Advanced Dental Llc 490 E Main St Denville NJ 07834-2484 Ph: (973) 586-4444 |
| NPI Number | 1619120664 |
|---|---|
| Provider Enumeration Date | 11/03/2008 |
| Last Update Date | 03/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619120664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18218 (New Jersey) | Secondary |
| 1223P0300X | Dentist - Periodontics | 18218 (New Jersey) | Primary |
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