Guttenberg Dental Associates, P.c. | |
6800 Bergenline Ave Guttenberg NJ 07093-1826 | |
(201) 861-6000 | |
(201) 861-6002 |
Full Name | Guttenberg Dental Associates, P.c. |
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Speciality | Dentist - General Practice |
Location | 6800 Bergenline Ave, Guttenberg, New Jersey |
Authorized Official Name and Position | Joseph P Prasad (PRESIDENT) |
Authorized Official Contact | 2018616000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Guttenberg Dental Associates, P.c. 6800 Bergenline Ave Guttenberg NJ 07093-1826 Ph: (201) 861-6000 | Guttenberg Dental Associates, P.c. 6800 Bergenline Ave Guttenberg NJ 07093-1826 Ph: (201) 861-6000 |
NPI Number | 1821086869 |
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Provider Enumeration Date | 10/13/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821086869 | NPI | - | NPPES |
5562805 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DI-13595 (New Jersey) | Primary |
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