| Atlantic Periodontics Llc | |
|
1815 New Rd Northfield NJ 08225-1101 | |
| (609) 646-0333 | |
| (609) 641-7388 |
| Full Name | Atlantic Periodontics Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1815 New Rd, Northfield, New Jersey |
| Authorized Official Name and Position | Richard E Levitt (PERIODONTIST) |
| Authorized Official Contact | 6096460333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Periodontics Llc 1815 New Rd Northfield NJ 08225-1101 Ph: (609) 646-0333 | Atlantic Periodontics Llc 1815 New Rd Northfield NJ 08225-1101 Ph: (609) 646-0333 |
| NPI Number | 1750872081 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 05/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750872081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 22DI011191 (New Jersey) | Primary |
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