# P&S DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jersey City Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518386705
- **Authorized official:** ANDREW S PAEK DDS (MANAGER)
- **Authorized official phone:** (917) 583-6646

## Contact information

- **Practice address:** 178 NEWARK AVE, JERSEY CITY, NJ 07302-5864
- **Practice address phone:** (201) 332-0403
- **Practice address fax:** (201) 332-7364
- **Mailing address:** 178 NEWARK AVE, JERSEY CITY, NJ 07302-5864
- **Mailing address phone:** (201) 332-0403
- **Mailing address fax:** (201) 332-7364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2377100 | NJ | Yes |

## Other

- **Enumeration date:** 04/15/2014
- **Last updated:** 04/15/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1942456793 | NPI | NJ |