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PEB DENTAL DDS/PA NPI 1437547890


NPI Information

NPI: 1437547890
Provider Name: PEB DENTAL DDS/PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
155 STELTON RD
PISCATAWAY, NJ
ZIP 08854
Phone: (732) 752-1932
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PEB DENTAL DDS/PA is a general practice dentist in Piscataway, NJ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PEB DENTAL DDS/PA NPI is 1437547890. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

155 STELTON RD
PISCATAWAY, NJ
ZIP 08854-251
Phone: (732) 752-1932
Fax: (732) 752-1268

The provider's authorized official is Vijaya Radhakrishna .
The authorized official title is Pediatrician and has the following contact phone number (732) 752-1932.

The enumeration date for this NPI number is 1/7/2015 and was last updated on 1/7/2015.


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
11223G0001XDentistGeneral Practice0101028295NEW 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: 5/5/2024

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