| Smile Central Dental Pc | |
|
140 Market Street 3rd Floor Paterson NJ 07505 | |
| (973) 742-4200 | |
| (973) 742-4997 |
| Full Name | Smile Central Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 140 Market Street, Paterson, New Jersey |
| Authorized Official Name and Position | Robert Grunstein (OWNER) |
| Authorized Official Contact | 9737424200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Central Dental Pc 140 Market Street 3rd Floor Paterson NJ 07505 Ph: (973) 742-4200 | Smile Central Dental Pc 140 Market Street 3rd Floor Paterson NJ 07505 Ph: (973) 742-4200 |
| NPI Number | 1629089909 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 03/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629089909 | NPI | - | NPPES |
| 0083518 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DI21533 (New Jersey) | Primary |
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