Melissa L Pecoraro in Clark - Periodontics
Melissa L Pecoraro - NPI 1457329328
Melissa L Pecoraro is a Periodontics in Clark, New Jersey. Melissa L Pecoraro practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Melissa L Pecoraro is 1457329328. The last update date is 2007-07-08.
Melissa L Pecoraro's current location address is 1119 Raritan Rd, Clark, New Jersey. You can contact this provider via phone number 7323829090 and fax number 7323961527. The mailing address for Melissa L Pecoraro is 1119 Raritan Rd, Clark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa L Pecoraro |
|---|---|
| Address | 1119 Raritan Rd, Clark, New Jersey |
| Phone Number | 7323829090 |
| Fax Number | 7323961527 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1457329328 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1119 Raritan Rd |
|---|---|
| City | Clark |
| State | New Jersey (NJ) |
| Post Code | 70661315 |
| Phone Number | 7323829090 |
| Fax Number | 7323961527 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 22DI02152901 |
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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 Melissa L Pecoraro by the Centers for Medicare & Medicaid Services?
The Melissa L Pecoraro has been assigned the NPI (National Provider Identifier) 1457329328 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Melissa L Pecoraro?
The Melissa L Pecoraro is situated at 1119 Raritan Rd, in the city of Clark, state of NJ, with the zip code 70661315.
What is Melissa L Pecoraro's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Melissa L Pecoraro is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
When did Melissa L Pecoraro receive its 1457329328 assignment?
The Melissa L Pecoraro was assigned its 1457329328 on 2006-03-08, which is the date when this unique identifier was issued to the organization.
When was the information regarding Melissa L Pecoraro, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Melissa L Pecoraro, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC