| Passaic Dental Association | |
|
244 Paulison Ave Passaic NJ 07055-3806 | |
| (973) 778-7272 | |
| (973) 778-5755 |
| Full Name | Passaic Dental Association |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 244 Paulison Ave, Passaic, New Jersey |
| Authorized Official Name and Position | Monica Rollins (OFFICE MANAGER) |
| Authorized Official Contact | 9737787272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Passaic Dental Association 244 Paulison Ave Passaic NJ 07055-3806 Ph: (973) 778-7272 | Passaic Dental Association 244 Paulison Ave Passaic NJ 07055-3806 Ph: (973) 778-7272 |
| NPI Number | 1184861114 |
|---|---|
| Provider Enumeration Date | 01/13/2009 |
| Last Update Date | 01/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184861114 | NPI | - | NPPES |
| 0180041 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02093500 (New Jersey) | Primary |
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