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South Orange Dental Center, P.a.
Pediatric Dentist in South Orange, New Jersey
NPI 1568591162

South Orange Dental Center, P.a. is a Pediatric Dentist based in South Orange, NJ and is specialized in Pediatric Dentistry. South Orange Dental Center, P.a. practices in South Orange, NJ. The NPI Number for South Orange Dental Center, P.a. is 1568591162 and holds a License No. 16564 (New Jersey).

The current practice location address for South Orange Dental Center, P.a. is 481 S Orange Ave, South Orange, NJ and can be reached out via phone at 973-762-2660 and via fax at 973-762-5473.

Location: 481 S Orange Ave, South Orange, NJ, 07079-2642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568591162
Provider Name
South Orange Dental Center, P.a.
Credential
Provider Entity Type
Organization
Address
481 S Orange Ave, South Orange, NJ, 07079-2642
Phone Number
973-762-2660
Fax Number
973-762-5473
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
481 S Orange Ave
City
South Orange
State
New Jersey
Zip
07079-2642
Phone Number
973-762-2660
Fax Number
973-762-5473
person
Provider Business Mailing Address Details
Address
481 S Orange Ave
City
South Orange
State
New Jersey
Zip
07079-2642
Phone Number
973-762-2660
Fax Number
973-762-5473
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
17250 (New Jersey)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
16564 (New Jersey)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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