| New York Smiles | |
|
201 Route 17 North Rutherford NJ 07070 | |
| (201) 549-8817 | |
| (201) 549-8839 |
| Full Name | New York Smiles |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 201 Route 17 North, Rutherford, New Jersey |
| Authorized Official Name and Position | Shankar Iyer (PRESIDENT) |
| Authorized Official Contact | 9085278880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New York Smiles 201 Route 17 North Rutherford NJ 07070 Ph: (201) 549-8817 | New York Smiles 201 Route 17 North Rutherford NJ 07070 Ph: (201) 549-8817 |
| NPI Number | 1255879920 |
|---|---|
| Provider Enumeration Date | 02/02/2017 |
| Last Update Date | 02/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255879920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 26245 (New Jersey) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | 19245 (New Jersey) | Primary |
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