| Summit Dental Group | |
|
92 State Rt 23 Riverdale NJ 07457-1203 | |
| (201) 891-7400 | |
| Not Available |
| Full Name | Summit Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 92 State Rt 23, Riverdale, New Jersey |
| Authorized Official Name and Position | Robert Lorino (MEMBER/OWNER) |
| Authorized Official Contact | 9733421233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Dental Group 860 Meadow Ln Franklin Lakes NJ 07417-1112 Ph: (973) 342-1233 | Summit Dental Group 92 State Rt 23 Riverdale NJ 07457-1203 Ph: (201) 891-7400 |
| NPI Number | 1386984243 |
|---|---|
| Provider Enumeration Date | 02/28/2013 |
| Last Update Date | 02/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386984243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI02140400 (New Jersey) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 22DI02152600 (New Jersey) | Secondary |
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