Individual provider · Type 1 NPI

Peter John Antonellis, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Montville, NJ

NPI number 1851474142 Active

Practice location

170 Changebridge Rd, Unit C 5-2
Montville, NJ 07045-9115

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X13056 (NJ)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1851474142

Peter John Antonellis, DMD's National Provider Identifier is 1851474142, issued on Oct 23, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Montville, NJ. The record was last updated on Jul 8, 2007.