| R & S Dental Associates Pc | |
|
400 Broad St Clifton NJ 07013 | |
| (973) 478-4111 | |
| (973) 807-0514 |
| Full Name | R & S Dental Associates Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Broad St, Clifton, New Jersey |
| Authorized Official Name and Position | Mikhail Shulman (DENTIST) |
| Authorized Official Contact | 9734784111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R & S Dental Associates Pc 400 Broad St Clifton NJ 07013 Ph: (973) 478-4111 | R & S Dental Associates Pc 400 Broad St Clifton NJ 07013 Ph: (973) 478-4111 |
| NPI Number | 1518028026 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 05/08/2024 |
| Medicare PECOS PAC ID | 7113171042 |
|---|---|
| Medicare Enrollment ID | O20130131000178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518028026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Mikhail Shulman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1346251675 PECOS PAC ID: 3173777091 Enrollment ID: I20130131000212 |
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