Wallington Family Dentistry Center PA
Organization Active NPI Dentist · Wallington, NJ
NPI 1306399696 · NPPES record last updated Aug 3, 2016
Key facts
- NPI
- 1306399696
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 02226600 (NJ)
- Legal business name
- WALLINGTON FAMILY DENTISTRY CENTER PA
- Practice address
- 172 Maple Ave
Wallington, NJ 07057-1212 - Phone
- (973) 778-0918
- NPI assigned
- Aug 3, 2016
- Organization subpart
- No
Authorized official
- Name
- Joseph Rozehzadeh, DMD
- Title
- Partner
- Phone
- (973) 239-6330
Practitioners 2
-
Scott Udoff, D.M.D
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 02226600 | NJ | Yes |
Addresses
Primary practice location
172 Maple Ave
Wallington, NJ 07057-1212
Mailing address
172 Maple Ave
Wallington, NJ 07057-1212
Phone (973) 778-0918
Other providers in Wallington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.