| Foundation Endodontics | |
|
870 Palisade Ave Suite #303 Teaneck NJ 07666-3419 | |
| (201) 836-8000 | |
| (201) 591-7981 |
| Full Name | Foundation Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 870 Palisade Ave, Teaneck, New Jersey |
| Authorized Official Name and Position | Michael Jay Lewis (PRESIDENT) |
| Authorized Official Contact | 2018368000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation Endodontics 870 Palisade Ave Suite #303 Teaneck NJ 07666-3419 Ph: (201) 836-8000 | Foundation Endodontics 870 Palisade Ave Suite #303 Teaneck NJ 07666-3419 Ph: (201) 836-8000 |
| NPI Number | 1659607299 |
|---|---|
| Provider Enumeration Date | 11/01/2009 |
| Last Update Date | 11/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659607299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 02309100 (New Jersey) | Primary |
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