PERIODONTICS CENTER NPI 1639023799

NPI Information

  • NPI: 1639023799
  • Provider Name: PERIODONTICS CENTER
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 116 MILLBURN AVE STE 204
    MILLBURN, NJ
    ZIP 07041
  • Phone: (973) 379-6400

Map and Directions

Get Directions

NPI Details

PERIODONTICS CENTER is a periodontics dentist in Millburn, 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. PERIODONTICS CENTER NPI is 1639023799. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

116 MILLBURN AVE STE 204
MILLBURN, NJ
ZIP 07041-919
Phone: (973) 379-6400
Fax: (973) 379-6430

The provider's authorized official is Kim Yacono .
The authorized official title is Office Manager and has the following contact phone number (973) 379-6400.

The enumeration date for this NPI number is 2/25/2026 and was last updated on 2/25/2026.

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
11223P0300XDentistPeriodonticsYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI