| Op Dental Management | |
|
325 Central Ave Orange NJ 07050-2407 | |
| (973) 676-3700 | |
| (973) 676-3701 |
| Full Name | Op Dental Management |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 325 Central Ave, Orange, New Jersey |
| Authorized Official Name and Position | Joseph Phillip Prasad (OWNER) |
| Authorized Official Contact | 9736763700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Op Dental Management 325 Central Ave Orange NJ 07050-2407 Ph: (973) 676-3700 | Op Dental Management 325 Central Ave Orange NJ 07050-2407 Ph: (973) 676-3700 |
| NPI Number | 1134286628 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134286628 | NPI | - | NPPES |
| 1394207 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI01359501 (New Jersey) | Primary |
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