Organization · Type 2 NPI
Periollp
Periodontics · Nutley, NJ
NPI number
1346541885
Active
Practice location
230 Centre Street
Nutley, NJ 07110
Fax (973) 661-3513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DI18768 (NJ) |
| Periodontics | 1223P0300X | DI 20033 (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.
About NPI 1346541885
Periollp's National Provider Identifier is 1346541885, issued on Nov 16, 2010. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Nutley, NJ. The record was last updated on Nov 16, 2010.