| Lakeside Endodontics | |
|
22 State Route 10 W Suite 102 Succasunna NJ 07876-1731 | |
| (973) 598-1600 | |
| (973) 598-1618 |
| Full Name | Lakeside Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 22 State Route 10 W, Succasunna, New Jersey |
| Authorized Official Name and Position | Karen Ferraro (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 9735981600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Endodontics 22 Route 10 West Suite 102 Succasunna NJ 07876 Ph: (973) 598-1600 | Lakeside Endodontics 22 State Route 10 W Suite 102 Succasunna NJ 07876-1731 Ph: (973) 598-1600 |
| NPI Number | 1972727253 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972727253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 22D101956300 (New Jersey) | Primary |
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