| Periodontics Center | |
|
116 Millburn Ave Ste 204 Millburn NJ 07041-1919 | |
| (973) 379-6400 | |
| (973) 379-6430 |
| Full Name | Periodontics Center |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 116 Millburn Ave Ste 204, Millburn, New Jersey |
| Authorized Official Name and Position | Kim Yacono (OFFICE MANAGER) |
| Authorized Official Contact | 9733796400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontics Center 116 Millburn Ave Ste 204 Millburn NJ 07041-1919 Ph: (973) 379-6400 | Periodontics Center 116 Millburn Ave Ste 204 Millburn NJ 07041-1919 Ph: (973) 379-6400 |
| NPI Number | 1639023799 |
|---|---|
| Provider Enumeration Date | 02/25/2026 |
| Last Update Date | 02/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639023799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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