| Pequannock Dental, Pc | |
|
157 Newark Pompton Tpke Pequannock NJ 07440-1300 | |
| (973) 696-4252 | |
| (973) 872-9018 |
| Full Name | Pequannock Dental, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 157 Newark Pompton Tpke, Pequannock, New Jersey |
| Authorized Official Name and Position | Shreyans Shah (OWNER) |
| Authorized Official Contact | 9736964252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pequannock Dental, Pc 157 Newark Pompton Tpke Pequannock NJ 07440-1300 Ph: (973) 696-4252 | Pequannock Dental, Pc 157 Newark Pompton Tpke Pequannock NJ 07440-1300 Ph: (973) 696-4252 |
| NPI Number | 1730546417 |
|---|---|
| Provider Enumeration Date | 01/26/2016 |
| Last Update Date | 01/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730546417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |