Individual provider · Type 1 NPI
Dmitry Stillman, DDS
Pediatric Dentistry · Ridgefield Park, NJ
NPI number
1275522880
Active
Practice location
45 Winant Avenue
Ridgefield Park, NJ 07660-1925
Fax (201) 440-1279
Mailing address
35 Journal Sq, Suite 601
Jersey City, NJ 07306-4011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | DI19909 (NJ) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1275522880
Dmitry Stillman, DDS's National Provider Identifier is 1275522880, issued on Oct 17, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Ridgefield Park, NJ. The record was last updated on Jul 22, 2008.