| Montville Orthodontic Associates | |
|
170 Changebridge Rd Unit C 5-2 Montville NJ 07045-9115 | |
| (973) 227-1132 | |
| (973) 227-3006 |
| Full Name | Montville Orthodontic Associates |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 170 Changebridge Rd, Montville, New Jersey |
| Authorized Official Name and Position | Peter John Antonellis (PRESIDENT) |
| Authorized Official Contact | 9732271132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montville Orthodontic Associates 170 Changebridge Rd Unit C 5-2 Montville NJ 07045-9115 Ph: (973) 227-1132 | Montville Orthodontic Associates 170 Changebridge Rd Unit C 5-2 Montville NJ 07045-9115 Ph: (973) 227-1132 |
| NPI Number | 1073696373 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073696373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 13056 (New Jersey) | Primary |
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