Periodontal Consultants, Pa

LBN: Periodontal Consultants, Pa
Periodontal Consultants, Pa is an health care organization with primary practice located at 1910 East Marlton Pike The Atrium Suite #2, Cherry Hill NJ 08003. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Periodontal Consultants, Pa can be contacted via phone (856) 428-4746, or through Agosto, Rafaela via phone (267) 334-0082.

Contact Information

Primary practice address
1910 East Marlton Pike The Atrium Suite #2 Cherry Hill NJ 08003
Phone: (856) 428-4746
Fax: (856) 751-3975
Website:
Map and Directions
Authorized official contact:
Name: Agosto, Rafaela
Phone: (267) 334-0082

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X

Profile Details

NPI number 1417502378
LBN Legal business name Periodontal Consultants, Pa
DBA Doing business as
Authorized official Agosto, Rafaela
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2019
Last updated Aug 7th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417502378 NPPES
New Jersey Other 0101051655 BUSINESS IDENTIFICATION NUMBER

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