| Westwood Periodontics,pc | |
|
354 Old Hook Rd Ste 201 Westwood NJ 07675-3248 | |
| (201) 664-3023 | |
| (201) 664-0912 |
| Full Name | Westwood Periodontics,pc |
|---|---|
| Speciality | Dentist |
| Location | 354 Old Hook Rd Ste 201, Westwood, New Jersey |
| Authorized Official Name and Position | Priyu Gupta (OWNER) |
| Authorized Official Contact | 2016643023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westwood Periodontics,pc 354 Old Hook Rd Ste 201 Westwood NJ 07675-3248 Ph: (201) 664-3023 | Westwood Periodontics,pc 354 Old Hook Rd Ste 201 Westwood NJ 07675-3248 Ph: (201) 664-3023 |
| NPI Number | 1841923877 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 07/12/2022 |
| Medicare PECOS PAC ID | 1456731405 |
|---|---|
| Medicare Enrollment ID | O20220707002992 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841923877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
| Provider Name | Priyu Gupta |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1518168343 PECOS PAC ID: 9537540117 Enrollment ID: I20220713002432 |
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