Peb Dental DDS PA
Dentist, General Practice in East Brunswick, New Jersey
1770971103- Practice location
- 230 Route 18, East Brunswick, NJ 08816-1909
- Phone
- 732-609-9106
- Fax
- 732-752-1268
- Last updated
- January 8, 2015
Peb Dental DDS PA is a healthcare organization based in East Brunswick, NJ. Peb Dental DDS PA practices in East Brunswick, NJ. The NPI Number for Peb Dental DDS PA is 1770971103 and holds a License No. 0101028295 (NJ). The current practice location address for Peb Dental DDS PA is 230 Route 18, East Brunswick, NJ 08816-1909 and can be reached out via phone at 732-609-9106 and via fax at 732-752-1268.
Provider Profile Details
- NPI Number
- 1770971103
- Provider Name
- Peb Dental DDS PA
- Provider Entity Type
- Organization
- Address
- 230 Route 18, East Brunswick, NJ 08816-1909
- Phone Number
- 732-609-9106
- Fax Number
- 732-752-1268
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Vijaya Radakrishna, MD · Pediatrician · 732-752-1932
- Provider Enumeration Date
- January 8, 2015
- Last Update Date
- January 8, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 230 Route 18
East Brunswick, NJ 08816-1909 - City
- East Brunswick
- State
- New Jersey
- Zip
- 08816-1909
- Phone Number
- 732-609-9106
- Fax Number
- 732-752-1268
Provider Business Mailing Address Details
- Address
- 230 Route 18
East Brunswick, NJ 08816-1909 - City
- East Brunswick
- State
- NJ
- Zip
- 08816-1909
- Phone Number
- 732-609-9106
- Fax Number
- 732-752-1268
License Information
- License Number
- 0101028295
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Peb Dental DDS PA?
The NPI number of Peb Dental DDS PA is 1770971103. It was assigned on January 8, 2015 and is currently active in the NPPES registry.
What is the specialty of Peb Dental DDS PA?
Peb Dental DDS PA is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 0101028295.
Where does Peb Dental DDS PA practice?
The practice location is 230 Route 18, East Brunswick, NJ 08816-1909. The office can be reached at 732-609-9106 (phone) or 732-752-1268 (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 1770971103 directly on the NPPES registry website.