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Mr. Peter Pisano JR.
Student in an Organized Health Care Education/Training Program in Red Bank, New Jersey
NPI 1598151060

Peter Pisano JR. is a Student in an Organized Health Care Education/Training Program based in Morganville, NJ. Peter Pisano JR. practices in Red Bank, NJ. The NPI Number for Peter Pisano JR. is 1598151060 and holds a License No. DI027315 (New Jersey).

The current practice location address for Peter Pisano JR. is 49 Branch Ave, Red Bank, NJ and can be reached out via phone at 732-741-2042.

Location: 49 Branch Ave, Red Bank, NJ, 07751-2068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598151060
Provider Name
Peter Pisano JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
49 Branch Ave, Red Bank, NJ, 07751-2068
Phone Number
732-741-2042
Fax Number
Provider Enumeration Date
04/12/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
49 Branch Ave
City
Red Bank
State
New Jersey
Zip
07701-2203
Phone Number
732-741-2042
Fax Number
person
Provider Business Mailing Address Details
Address
49 Branch Ave
City
Red Bank
State
New Jersey
Zip
07701-2203
Phone Number
732-741-2042
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
060317 (New York)
Definition
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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DI027315 (New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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