| Daniel Sultan Oral Surgery Llc | |
|
95 Dana Pl Englewood NJ 07631-3629 | |
| (631) 379-0903 | |
| Not Available |
| Full Name | Daniel Sultan Oral Surgery Llc |
|---|---|
| Speciality | Dentist |
| Location | 95 Dana Pl, Englewood, New Jersey |
| Authorized Official Name and Position | Daniel Sultan (PRESIDENT) |
| Authorized Official Contact | 6313790903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Sultan Oral Surgery Llc 95 Dana Pl Englewood NJ 07631-3629 Ph: (631) 379-0903 | Daniel Sultan Oral Surgery Llc 95 Dana Pl Englewood NJ 07631-3629 Ph: (631) 379-0903 |
| NPI Number | 1578254611 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 05/18/2023 |
| Medicare PECOS PAC ID | 8921464629 |
|---|---|
| Medicare Enrollment ID | O20230523001698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578254611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Daniel Dds Sultan |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1427449990 PECOS PAC ID: 0941545420 Enrollment ID: I20230523002040 |
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