| Gregory Vanvlietdds,peter Perera Dmd,pa | |
|
33 Sicomac Rd North Haledon NJ 07508-2971 | |
| (973) 427-0300 | |
| (973) 427-7745 |
| Full Name | Gregory Vanvlietdds,peter Perera Dmd,pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 33 Sicomac Rd, North Haledon, New Jersey |
| Authorized Official Name and Position | Gregory Vanvliet (OWNER) |
| Authorized Official Contact | 9734270300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Vanvlietdds,peter Perera Dmd,pa 33 Sicomac Rd North Haledon NJ 07508-2971 Ph: (973) 427-0300 | Gregory Vanvlietdds,peter Perera Dmd,pa 33 Sicomac Rd North Haledon NJ 07508-2971 Ph: (973) 427-0300 |
| NPI Number | 1073681060 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073681060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI01271000 (New Jersey) | Primary |
North Haledon Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 Belmont Ave, North Haledon, NJ 07508 Phone: 973-304-1577 |