| Center For Dental Implants And Facial Cosmetic Surgery | |
|
171 Woodport Rd. Sparta NJ 07871 | |
| (973) 865-2670 | |
| Not Available |
| Full Name | Center For Dental Implants And Facial Cosmetic Surgery |
|---|---|
| Speciality | Dentist |
| Location | 171 Woodport Rd., Sparta, New Jersey |
| Authorized Official Name and Position | Pamela Alberto (PRESIDENT) |
| Authorized Official Contact | 9737297979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Dental Implants And Facial Cosmetic Surgery 171 Woodport Rd. Sparta NJ 07871 Ph: (973) 865-2670 | Center For Dental Implants And Facial Cosmetic Surgery 171 Woodport Rd. Sparta NJ 07871 Ph: (973) 865-2670 |
| NPI Number | 1013129592 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/26/2015 |
| Medicare PECOS PAC ID | 4486672771 |
|---|---|
| Medicare Enrollment ID | O20080711000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013129592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D12645 (New Jersey) | Primary |
| Provider Name | Pamela L Alberto |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1548226236 PECOS PAC ID: 8022035542 Enrollment ID: I20051025000032 |
| Provider Name | Sung H Cho |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1952400780 PECOS PAC ID: 0446323323 Enrollment ID: I20120109000326 |
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