# PASCACK VALLEY DENTAL PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134202757
- **Authorized official:** DR. PHILIP A. SPAGNESI D.D.S. (SECT.)
- **Authorized official phone:** (201) 265-8600

## Contact information

- **Practice address:** 449 OLD HOOK RD, EMERSON, NJ 07630-1323
- **Practice address phone:** (201) 265-8600
- **Mailing address:** 449 OLD HOOK RD, EMERSON, NJ 07630-1323
- **Mailing address phone:** (201) 265-8600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI01319100 | NJ | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 04/24/2008