| Premier Family Dental Pc | |
|
520 Clifton Ave Ste 4 4 Clifton NJ 07011-3247 | |
| (973) 772-4222 | |
| (973) 772-7652 |
| Full Name | Premier Family Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 520 Clifton Ave Ste 4, Clifton, New Jersey |
| Authorized Official Name and Position | Gira Rathod (OFFICE MANAGER) |
| Authorized Official Contact | 9737724222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Dental Pc 520 Clifton Ave Ste 4 4 Clifton NJ 07011-3247 Ph: (973) 772-4222 | Premier Family Dental Pc 520 Clifton Ave Ste 4 4 Clifton NJ 07011-3247 Ph: (973) 772-4222 |
| NPI Number | 1962847020 |
|---|---|
| Provider Enumeration Date | 05/02/2013 |
| Last Update Date | 05/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962847020 | NPI | - | NPPES |
| 0227391 | Medicaid | NJ | |
| 0255891 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DI0227391 (New Jersey) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DI2443200 (New Jersey) | Secondary |
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