Pediatric Dentistry & Orthodontics, LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Midland Park, NJ. Organization (NPI-2).
NPI number1245341981
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1245341981
- Entity type
- Organization (NPI-2)
- Legal business name
- Pediatric Dentistry & Orthodontics, LLC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
| 1223P0221X | Dentist, Pediatric Dentistry | – | – |
Other names
- Pediatric Dentistry Of Midland Park (Doing Business As)
Practice location
6 Prospect StSuite 1a
Midland Park, NJ 07432-1606
Phone 201-445-5555 · Fax 201-445-5057
Mailing address
6 Prospect StSuite 1a
Midland Park, NJ 07432-1606
Phone 201-445-5555 · Fax 201-445-5057
Authorized official
Carmine Carlo Russo
General Partner
2014455555
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