East Brunswick Periodontics And Dental Implants in East Brunswick - Periodontics

East Brunswick Periodontics And Dental Implants - NPI 1194861591

East Brunswick Periodontics And Dental Implants is a Periodontics in East Brunswick, New Jersey. East Brunswick Periodontics And Dental Implants practices all healthcare services and medical treatments related to Periodontics. The NPI Number for East Brunswick Periodontics And Dental Implants is 1194861591. The last update date is 2020-08-22.

East Brunswick Periodontics And Dental Implants's current location address is E 7 Brier Hill Ct, East Brunswick, New Jersey. You can contact this provider via phone number 7326518470 and fax number 7326518033. The mailing address for East Brunswick Periodontics And Dental Implants is E 7 Brier Hill Ct, East Brunswick, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization East Brunswick Periodontics And Dental Implants
Address E 7 Brier Hill Ct, East Brunswick, New Jersey
Phone Number 7326518470
Fax Number 7326518033
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DOCTOR
Authorized Official Name Mir Madjlessi Nima
Credentials DDS, MS, P
Telephone Number 7326518470

NPI Number Detail

NPI Number 1194861591
Provider Enumeration Date 2007-01-30
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address E 7 Brier Hill Ct
City East Brunswick
State New Jersey (NJ)
Post Code 88163336
Phone Number 7326518470
Fax Number 7326518033

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 20508
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1659303329 NJ NATIONAL PROVIDER IDENTIF

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FAQs about East Brunswick Periodontics And Dental Implants

What is the unique identifier code issued to East Brunswick Periodontics And Dental Implants by the Centers for Medicare & Medicaid Services (CMS)?

The East Brunswick Periodontics And Dental Implants has been assigned the NPI (National Provider Identifier) 1194861591. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where East Brunswick Periodontics And Dental Implants is located?

The East Brunswick Periodontics And Dental Implants is situated at the following address: E 7 Brier Hill Ct, East Brunswick, NJ, 88163336.

What is East Brunswick Periodontics And Dental Implants's area of expertise and its corresponding taxonomy classification?

The East Brunswick Periodontics And Dental Implants's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1194861591 to East Brunswick Periodontics And Dental Implants?

The Centers for Medicare & Medicaid Services originally issued the 1194861591 to East Brunswick Periodontics And Dental Implants on 2007-01-30.

As of what date were the East Brunswick Periodontics And Dental Implants's details last updated?

The information pertaining to the East Brunswick Periodontics And Dental Implants, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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