Individual provider · Type 1 NPI
Mark I. Khaimov, DDS
Periodontics · Nutley, NJ
NPI number
1477614162
Active
Practice location
180 Centre St
Nutley, NJ 07110-2828
Fax (973) 798-2640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 2249201 (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.
Other periodontics providers in Nutley
About NPI 1477614162
Mark I. Khaimov, DDS's National Provider Identifier is 1477614162, issued on Dec 13, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Nutley, NJ. The record was last updated on Jul 18, 2016.