Great Smiles Orthodontics
Dentist, Orthodontics and Dentofacial Orthopedics in Morris Plains, NJ. Organization (NPI-2).
NPI number1750809232
StatusActive
Last updated in NPPESSep 5, 2017
Details
- NPI
- 1750809232
- Entity type
- Organization (NPI-2)
- Legal business name
- Great Smiles Orthodontics
- Organization subpart
- No
- Enumeration date
- Sep 5, 2017
- Last updated
- Sep 5, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | DI20733 | NJ | Yes |
Practice location
559 Speedwell AveMorris Plains, NJ 07950-2122
Phone 908-347-5724
Mailing address
8 Debra CtScotch Plains, NJ 07076-2827
Phone 908-347-5724
Authorized official
Pankaj Puri
Co-Owner
9083475724
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