| South Plainfield Orthodontics, Llc | |
|
1904 Park Ave South Plainfield NJ 07080-5524 | |
| (908) 756-5468 | |
| (908) 756-7469 |
| Full Name | South Plainfield Orthodontics, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1904 Park Ave, South Plainfield, New Jersey |
| Authorized Official Name and Position | Craig Menker (SOLE MBR) |
| Authorized Official Contact | 9087565468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Plainfield Orthodontics, Llc 1904 Park Ave South Plainfield NJ 07080-5524 Ph: (908) 756-5468 | South Plainfield Orthodontics, Llc 1904 Park Ave South Plainfield NJ 07080-5524 Ph: (908) 756-5468 |
| NPI Number | 1578639712 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578639712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DI17700 (New Jersey) | Primary |
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