Pearly Whites Spec LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Berkeley Heights, NJ. Organization (NPI-2).
NPI number1326413402
StatusActive
Last updated in NPPESFeb 25, 2020
Details
- NPI
- 1326413402
- Entity type
- Organization (NPI-2)
- Legal business name
- Pearly Whites Spec LLC
- Organization subpart
- No
- Enumeration date
- Dec 1, 2015
- Certification date
- Feb 25, 2020
- Last updated
- Feb 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
| 1223P0300X | Dentist, Periodontics | – | – | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – |
Other names
- Pearly Whites (Doing Business As)
Practice location
501 Springfield AveBerkeley Heights, NJ 07922
Phone 973-578-8788
Mailing address
501b Springfield AveBerkeley Heights, NJ 07922-1180
Phone 973-578-8788
Authorized official
Kate Rodrigues
Billing Coordinator
9735788788
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