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Organization
PREMIER CARE DENTISTRY LLC
Active
Organization
PREMIER CARE DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SWAIN (CREDENTIALING OPERATIONS MANAGER)
(631) 414-7927
Entity
Organization
Contact information
Practice address
1640 US HIGHWAY 22 E, WATCHUNG, NJ 07069-6503
(908) 388-1088
(631) 396-0452
Mailing address
105 MAXESS RD STE 107N, MELVILLE, NY 11747-3859
(631) 414-7927
(631) 396-0452
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
09/30/2026
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