is a Periodontics in Shrewsbury, New Jersey. practices all healthcare services and medical treatments related to Periodontics. The NPI Number for is 1356452775. The last update date is .
's current location address is 180 Avenue Of The Cmn, Shrewsbury, New Jersey. You can contact this provider via phone number 7325427877. The mailing address for is 180 Avenue Of The Cmn, Shrewsbury, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 180 Avenue Of The Cmn, Shrewsbury, New Jersey |
| Phone Number | 7325427877 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1356452775 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 180 Avenue Of The Cmn |
|---|---|
| City | Shrewsbury |
| State | New Jersey (NJ) |
| Post Code | 77024569 |
| Phone Number | 7325427877 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 16788 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 223140918000 | NJ | TAX ID |
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