| Advanced Dental Specialty Group | |
|
7 Sylvan Avenue Englewood Cliffs NJ 07632 | |
| (201) 302-0700 | |
| (201) 302-9857 |
| Full Name | Advanced Dental Specialty Group |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 7 Sylvan Avenue, Englewood Cliffs, New Jersey |
| Authorized Official Name and Position | Alexander E. Lee (PRESIDENT) |
| Authorized Official Contact | 2013020700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Specialty Group 7 Sylvan Avenue Englewood Cliffs NJ 07632 Ph: (201) 302-0700 | Advanced Dental Specialty Group 7 Sylvan Avenue Englewood Cliffs NJ 07632 Ph: (201) 302-0700 |
| NPI Number | 1720405764 |
|---|---|
| Provider Enumeration Date | 03/27/2014 |
| Last Update Date | 03/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720405764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 18599 (New Jersey) | Primary |
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