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Palisdes Periodontics
Periodontist in Fort Lee, New Jersey
NPI 1013183896

Palisdes Periodontics is a Periodontist based in Fort Lee, NJ and is specialized in Periodontics. Palisdes Periodontics practices in Fort Lee, NJ. The NPI Number for Palisdes Periodontics is 1013183896 and holds a License No. DI15888-01 (New Jersey).

The current practice location address for Palisdes Periodontics is 1530 Palisade Ave, Fort Lee, NJ and can be reached out via phone at 201-585-8282. You can also correspond with Palisdes Periodontics through the mailing address at 1530 PALISADE AVE, FORT LEE, NJ - 07024-5471 (mailing address contact number: 201-585-8282).

Location: 1530 Palisade Ave, Fort Lee, NJ, 07024-5471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013183896
Provider Name
Palisdes Periodontics
Credential
Provider Entity Type
Organization
Address
1530 Palisade Ave, Fort Lee, NJ, 07024-5471
Phone Number
201-585-8282
Fax Number
Provider Enumeration Date
05/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DI15888-01 01 NJ DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1530 Palisade Ave
City
Fort Lee
State
New Jersey
Zip
07024-5471
Phone Number
201-585-8282
Fax Number
person
Provider Business Mailing Address Details
Address
1530 Palisade Ave
City
Fort Lee
State
New Jersey
Zip
07024-5471
Phone Number
201-585-8282
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DI15888-01 (New Jersey)
Definition
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.
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