| Periodontal Associates | |
|
97 N Dean St Englewood NJ 07631-2806 | |
| (201) 567-7766 | |
| Not Available |
| Full Name | Periodontal Associates |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 97 N Dean St, Englewood, New Jersey |
| Authorized Official Name and Position | Howard A Schwartz (SECRETARY) |
| Authorized Official Contact | 2015677766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Associates 97 N Dean St Englewood NJ 07631-2806 Ph: (201) 567-7766 | Periodontal Associates 97 N Dean St Englewood NJ 07631-2806 Ph: (201) 567-7766 |
| NPI Number | 1659440402 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659440402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 22DI00902300 (New Jersey) | Primary |
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