| Dental Health 360 | |
|
501 N Rte 17 Paramus NJ 07652-3000 | |
| (201) 497-1666 | |
| (201) 497-1667 |
| Full Name | Dental Health 360 |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 501 N Rte 17, Paramus, New Jersey |
| Authorized Official Name and Position | Dmitry Stillman (OWNER) |
| Authorized Official Contact | 2014971666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Health 360 501 N Rte 17 Paramus NJ 07652-3000 Ph: (201) 497-1666 | Dental Health 360 501 N Rte 17 Paramus NJ 07652-3000 Ph: (201) 497-1666 |
| NPI Number | 1265965636 |
|---|---|
| Provider Enumeration Date | 04/04/2017 |
| Last Update Date | 04/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265965636 | NPI | - | NPPES |
| 0137375 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 22DI01990900 (New Jersey) | Primary |
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