Berkeley Periodontics Llc in Berkeley Heights - Periodontics
Berkeley Periodontics Llc - NPI 1730392630
Berkeley Periodontics Llc is a Periodontics in Berkeley Heights, New Jersey. Berkeley Periodontics Llc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Berkeley Periodontics Llc is 1730392630. The last update date is 2020-08-22.
Berkeley Periodontics Llc's current location address is 576 Springfield Ave, Berkeley Heights, New Jersey. You can contact this provider via phone number 9084645630 and fax number 9084646297. The mailing address for Berkeley Periodontics Llc is 576 Springfield Ave, Berkeley Heights, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Berkeley Periodontics Llc |
|---|---|
| Address | 576 Springfield Ave, Berkeley Heights, New Jersey |
| Phone Number | 9084645630 |
| Fax Number | 9084646297 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Maldonado Benjamin |
| Credentials | DMD |
| Telephone Number | 9084645630 |
NPI Number Detail
| NPI Number | 1730392630 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 576 Springfield Ave |
|---|---|
| City | Berkeley Heights |
| State | New Jersey (NJ) |
| Post Code | 79221055 |
| Phone Number | 9084645630 |
| Fax Number | 9084646297 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DI19327 |
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Definition: 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 structure |
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What is the unique 10-digit identifier code issued to Berkeley Periodontics Llc by the Centers for Medicare & Medicaid Services?
The Berkeley Periodontics Llc has been assigned the NPI (National Provider Identifier) 1730392630 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Berkeley Periodontics Llc's facilities are geographically located?
The facilities of Berkeley Periodontics Llc are physically situated at the following location: 576 Springfield Ave, Berkeley Heights, NJ, 79221055.
What is Berkeley Periodontics Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Berkeley Periodontics Llc's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
On what date was the 1730392630 assigned to Berkeley Periodontics Llc?
The Berkeley Periodontics Llc was issued its 1730392630 on 2007-05-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Berkeley Periodontics Llc most recently updated or revised?
The information pertaining to Berkeley Periodontics Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.