Organization · Type 2 NPI
South Mountain Dental Specialty Group
Periodontics · South Orange, NJ
NPI number
1063634137
Active
Practice location
71 Valley St, SUITE103
South Orange, NJ 07079
Fax (973) 378-8334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 15383 (NJ) |
Periodontics: 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 structures and tissues.
3 other providers at this address
About NPI 1063634137
South Mountain Dental Specialty Group's National Provider Identifier is 1063634137, issued on May 2, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in South Orange, NJ. The record was last updated on Aug 22, 2020.