| Smile Usa For Reconstructive Dentistry | |
|
469 Morris Ave Ste. 300 Elizabeth NJ 07208-1967 | |
| (908) 527-8880 | |
| (908) 527-8587 |
| Full Name | Smile Usa For Reconstructive Dentistry |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 469 Morris Ave, Elizabeth, New Jersey |
| Authorized Official Name and Position | Shankar Iyer (PRESIDENT) |
| Authorized Official Contact | 9085278880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Usa For Reconstructive Dentistry 469 Morris Ave Ste 300 Elizabeth NJ 07208-1967 Ph: (908) 527-8880 | Smile Usa For Reconstructive Dentistry 469 Morris Ave Ste. 300 Elizabeth NJ 07208-1967 Ph: (908) 527-8880 |
| NPI Number | 1033383740 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033383740 | NPI | - | NPPES |
| 7221509 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1020481 (New Jersey) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | 19245 (New Jersey) | Primary |
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