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PERIOLLP NPI 1346541885


NPI Information

NPI: 1346541885
Provider Name: PERIOLLP

Doing Business As: ADVANCED PERIODONTICS

Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
230 CENTRE STREET
NUTLEY, NJ
ZIP 07110
Phone: (973) 661-2992
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PERIOLLP is a periodontics dentist in Nutley, NJ. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PERIOLLP NPI is 1346541885. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Periodontics.

The provider's business location address is:

230 CENTRE STREET
NUTLEY, NJ
ZIP 07110
Phone: (973) 661-2992
Fax: (973) 661-3513

The provider's authorized official is Cortney Stuart .
The authorized official title is Office Manager and has the following contact phone number (973) 661-2992.

The enumeration date for this NPI number is 11/16/2010 and was last updated on 11/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodonticsDI 20033NEW JERSEYNo
21223P0300XDentistPeriodonticsDI18768NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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