NORTH JERSEY LASER PERIODONTICS NPI 1790077097

NPI Information

NPI: 1790077097
Provider Name: NORTH JERSEY LASER PERIODONTICS

Doing Business As: MIDDLESEX PERIODONTICS & DENTAL IMPLANTS, PC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
A3 CORNWALL DR
EAST BRUNSWICK, NJ
ZIP 08816
Phone: (732) 257-7300
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NORTH JERSEY LASER PERIODONTICS is a dental clinic center in East Brunswick, NJ. NORTH JERSEY LASER PERIODONTICS NPI is 1790077097. The provider is registered as an organization entity type.
The provider Is Doing Business As Middlesex Periodontics & Dental Implants, Pc.

The provider's business location address is:

A3 CORNWALL DR
EAST BRUNSWICK, NJ
ZIP 08816-352
Phone: (732) 257-7300

The provider's authorized official is Daniel Reich .
The authorized official title is Owner and has the following contact phone number (732) 257-7300.

The enumeration date for this NPI number is 5/5/2011 and was last updated on 5/5/2011.

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
1	261QD0000X	Clinic/Center	Dental	22DI01947900	NEW JERSEY	Yes

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

NPI Synchronization or Removal

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