| Clifton Periodontics | |
|
1001 Clifton Ave Suite 2a Clifton NJ 07013-3586 | |
| (973) 471-5600 | |
| (973) 471-4652 |
| Full Name | Clifton Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1001 Clifton Ave, Clifton, New Jersey |
| Authorized Official Name and Position | Roger Nelson Warren (PRESIDENT) |
| Authorized Official Contact | 9734715600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clifton Periodontics 1001 Clifton Ave Suite 2a Clifton NJ 07013-3586 Ph: (973) 471-5600 | Clifton Periodontics 1001 Clifton Ave Suite 2a Clifton NJ 07013-3586 Ph: (973) 471-5600 |
| NPI Number | 1407916968 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407916968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DI009492 (New Jersey) | Primary |
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