| Peak Family Dentistry, Llc | |
|
261 Summit Ave Hackensack NJ 07601-1431 | |
| (201) 487-4008 | |
| Not Available |
| Full Name | Peak Family Dentistry, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 261 Summit Ave, Hackensack, New Jersey |
| Authorized Official Name and Position | Lance A Vicente (OWNER) |
| Authorized Official Contact | 2014874008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Family Dentistry, Llc 261 Summit Ave Hackensack NJ 07601-1431 Ph: (201) 487-4008 | Peak Family Dentistry, Llc 261 Summit Ave Hackensack NJ 07601-1431 Ph: (201) 487-4008 |
| NPI Number | 1194357533 |
|---|---|
| Provider Enumeration Date | 02/04/2020 |
| Last Update Date | 02/04/2020 |
| Medicare PECOS PAC ID | 3678984879 |
|---|---|
| Medicare Enrollment ID | O20201119000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194357533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Lance Vicente |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457708356 PECOS PAC ID: 7113338310 Enrollment ID: I20201120000531 |
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