Dr Victor M Petriella, DMD | |
177 Irvington Ave, South Orange, NJ 07079-2264 | |
(973) 762-5773 | |
(973) 762-5003 |
Full Name | Dr Victor M Petriella |
---|---|
Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 177 Irvington Ave, South Orange, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093763724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 08898 (New Jersey) | Primary |
Entity Name | Rutgers Health - University Dental Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346454584 PECOS PAC ID: 7113811837 Enrollment ID: O20040212000116 |
Mailing Address | Practice Location Address |
---|---|
Dr Victor M Petriella, DMD 177 Irvington Ave, South Orange, NJ 07079-2264 Ph: (973) 762-5773 | Dr Victor M Petriella, DMD 177 Irvington Ave, South Orange, NJ 07079-2264 Ph: (973) 762-5773 |
Davia D. Strachan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 481 S Orange Ave, South Orange, NJ 07079 Phone: 973-762-2660 | |
Dr. Carol E Mann, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 202 S Orange Ave, South Orange, NJ 07079 Phone: 973-761-7003 | |
Ronald Kurlan, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 45 Prospect St, South Orange, NJ 07079 Phone: 973-763-2940 | |
Janatha Withanachchi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 71 Valley St Ste 100, South Orange, NJ 07079 Phone: 862-250-6952 | |
Haniel Chyler Rosemond, D.D.S., F.A.G.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 481 S Orange Ave, South Orange, NJ 07079 Phone: 973-762-2660 Fax: 973-762-5473 | |
Dr. Stephanie Ekemezie, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 228 S Orange Ave, South Orange, NJ 07079 Phone: 937-821-4959 |