| Montclair Orthodontics, Llc | |
|
218 Lorraine Ave Upper Montclair NJ 07043-1915 | |
| (973) 744-1912 | |
| (973) 744-5955 |
| Full Name | Montclair Orthodontics, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 218 Lorraine Ave, Upper Montclair, New Jersey |
| Authorized Official Name and Position | John Christopher Rubino (PRACTICE MANAGER) |
| Authorized Official Contact | 9737441912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montclair Orthodontics, Llc 218 Lorraine Ave Upper Montclair NJ 07043-1915 Ph: (973) 744-1912 | Montclair Orthodontics, Llc 218 Lorraine Ave Upper Montclair NJ 07043-1915 Ph: (973) 744-1912 |
| NPI Number | 1174223572 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174223572 | NPI | - | NPPES |
| 1396930855 | Other | NPPES | |
| 22DI02349400 | Other | NJ | NJ STATE BOARD OF DENTISTRY |
| 1134251606 | Other | NPPES | |
| 22DI01426800 | Other | NJ | NJ STATE BOARD OF DENTISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Ferguson Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 177 Gordonhurst Ave, Upper Montclair, NJ 07043 Phone: 973-744-3181 Fax: 973-337-8648 | |
Kinder Smile Foundation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 248 Lorraine Ave -, Suite #12, Upper Montclair, NJ 07043 Phone: 973-744-7003 Fax: 973-744-7008 | |
Upper Montclair Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Lorraine Ave, Upper Montclair, NJ 07043 Phone: 973-746-6056 |