Organization · NPI-2

Edward J. Prus, DDS, PC

Dentist, General Practice · Hopewell Junction, NY

NPI number1760505754
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1760505754
Entity type
Organization (NPI-2)
Legal business name
Edward J. Prus, DDS, PC
Organization subpart
No
Enumeration date
Apr 6, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice029826NYYes

Other names

  • Center For Dental Excellence (Other Name)

Practice location

2529 Rt 52
Suite 1
Hopewell Junction, NY 12533

Phone 845-227-7787 · Fax 845-227-7710

Mailing address

2529 Route 52
Suite 1
Hopewell Junction, NY 12533

Phone 845-227-7787 · Fax 845-227-7710

Authorized official

Edward J Prus
President
8452277787

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