| Northfield Dental Group | |
|
769 Northfield Ave Suite 154 West Orange NJ 07052-1198 | |
| (973) 736-0111 | |
| (973) 325-6442 |
| Full Name | Northfield Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 769 Northfield Ave, West Orange, New Jersey |
| Authorized Official Name and Position | Angela Pisauro (BENEFITS) |
| Authorized Official Contact | 9737360111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northfield Dental Group 769 Northfield Ave Suite 154 West Orange NJ 07052-1198 Ph: (973) 736-0111 | Northfield Dental Group 769 Northfield Ave Suite 154 West Orange NJ 07052-1198 Ph: (973) 736-0111 |
| NPI Number | 1225134455 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 03/02/2011 |
| Medicare PECOS PAC ID | 3971782319 |
|---|---|
| Medicare Enrollment ID | O20110201000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225134455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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