# OP DENTAL MANAGEMENT

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

## Provider details

- **NPI number:** 1134286628
- **Authorized official:** DR. JOSEPH PHILLIP PRASAD D.M.D. (OWNER)
- **Authorized official phone:** (973) 676-3700

## Contact information

- **Practice address:** 325 CENTRAL AVE, ORANGE, NJ 07050-2407
- **Practice address phone:** (973) 676-3700
- **Practice address fax:** (973) 676-3701
- **Mailing address:** 325 CENTRAL AVE, ORANGE, NJ 07050-2407
- **Mailing address phone:** (973) 676-3700
- **Mailing address fax:** (973) 676-3701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI01359501 | NJ | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1394207 | — | NJ |