PERIOLLP NPI 1346541885

NPI Information

  • NPI: 1346541885
  • Provider Name: PERIOLLP
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Doing Business As: ADVANCED PERIODONTICS
  • Address: 230 CENTRE STREET
    NUTLEY, NJ
    ZIP 07110
  • Phone: (973) 661-2992

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsDI 20033NEW JERSEYNo
21223P0300XDentistPeriodonticsDI18768NEW JERSEYYes

What is NPI?

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This page was last updated on: 11/21/2025

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