| Marigold Pediatric Dentistry And Orthodontics | |
|
1713 Springfield Ave Maplewood NJ 07040-2914 | |
| (973) 821-7161 | |
| Not Available |
| Full Name | Marigold Pediatric Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1713 Springfield Ave, Maplewood, New Jersey |
| Authorized Official Name and Position | Elena Ciciolla (OWNER) |
| Authorized Official Contact | 9546917906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marigold Pediatric Dentistry And Orthodontics 180 Old Tappan Rd Ste 1a Old Tappan NJ 07675-7052 Ph: (973) 821-7161 | Marigold Pediatric Dentistry And Orthodontics 1713 Springfield Ave Maplewood NJ 07040-2914 Ph: (973) 821-7161 |
| NPI Number | 1871114512 |
|---|---|
| Provider Enumeration Date | 05/05/2020 |
| Last Update Date | 01/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871114512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
Gerard L. Gonsalves, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2168 Millburn Ave, Suite 102, Maplewood, NJ 07040 Phone: 973-763-1300 Fax: 973-763-0800 | |
Contagious Smile Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1955 Springfield Ave Ste 1, Maplewood, NJ 07040 Phone: 973-763-0454 |