Organization · Type 2 NPI
Cory A. Wanatick,d.m.d.,p.a.
Periodontics · Fort Lee, NJ
NPI number
1508924754
Active
Practice location
1563 Parker Ave
Fort Lee, NJ 07024-7002
Fax (201) 461-0796
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DI018012 (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 Fort Lee
About NPI 1508924754
Cory A. Wanatick,d.m.d.,p.a.'s National Provider Identifier is 1508924754, issued on Dec 4, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fort Lee, NJ. The record was last updated on Aug 22, 2020.