Cory A. Wanatick,d.m.d.,p.a.
Dentist, Periodontics in Fort Lee, New Jersey
1508924754- Practice location
- 1563 Parker Ave, Fort Lee, NJ 07024-7002
- Phone
- 201-461-4133
- Fax
- 201-461-0796
- Last updated
- August 22, 2020
Cory A. Wanatick,d.m.d.,p.a. is a healthcare organization based in Fort Lee, NJ. Cory A. Wanatick,d.m.d.,p.a. practices in Fort Lee, NJ. The NPI Number for Cory A. Wanatick,d.m.d.,p.a. is 1508924754 and holds a License No. DI018012 (NJ). The current practice location address for Cory A. Wanatick,d.m.d.,p.a. is 1563 Parker Ave, Fort Lee, NJ 07024-7002 and can be reached out via phone at 201-461-4133 and via fax at 201-461-0796.
Provider Profile Details
- NPI Number
- 1508924754
- Provider Name
- Cory A. Wanatick,d.m.d.,p.a.
- Provider Entity Type
- Organization
- Address
- 1563 Parker Ave, Fort Lee, NJ 07024-7002
- Phone Number
- 201-461-4133
- Fax Number
- 201-461-0796
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Organization Subpart
- No
- Authorized Official
- Dr. Cory A Wanatick, DMD · President · 201-461-4133
- Provider Enumeration Date
- December 4, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1563 Parker Ave
Fort Lee, NJ 07024-7002 - City
- Fort Lee
- State
- New Jersey
- Zip
- 07024-7002
- Phone Number
- 201-461-4133
- Fax Number
- 201-461-0796
Provider Business Mailing Address Details
- Address
- 1563 Parker Ave
Fort Lee, NJ 07024-7002 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-7002
- Phone Number
- 201-461-4133
- Fax Number
- 201-461-0796
License Information
- License Number
- DI018012
- License State
- NJ
- Taxonomy
- Dentist, Periodontics · 1223P0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Periodontics providers near Fort Lee, NJ
View all Dentist, Periodontics providers in Fort Lee →- Dr. Daniela Gurpegui Abud, DDS, MSDentist, Periodontics · NPI 1114559994
- Dr. Dayen Peter D Wang, DDSDentist, Periodontics · NPI 1639241532
- Dr. In Kim-Yoo, DDS, MSDentist, Periodontics · NPI 1548474547
- Dr. Olga Michaud, DDSDentist, Periodontics · NPI 1003098724
- Dr. Philip Y Kang, DDSDentist, Periodontics · NPI 1992854673
- Joseph Wang, DDS, MSDentist, Periodontics · NPI 1841695822
Frequently Asked Questions
What is the NPI number of Cory A. Wanatick,d.m.d.,p.a.?
The NPI number of Cory A. Wanatick,d.m.d.,p.a. is 1508924754. It was assigned on December 4, 2006 and is currently active in the NPPES registry.
What is the specialty of Cory A. Wanatick,d.m.d.,p.a.?
Cory A. Wanatick,d.m.d.,p.a. is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in NJ under license number DI018012.
Where does Cory A. Wanatick,d.m.d.,p.a. practice?
The practice location is 1563 Parker Ave, Fort Lee, NJ 07024-7002. The office can be reached at 201-461-4133 (phone) or 201-461-0796 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508924754 directly on the NPPES registry website.