# PREMIER CARE DENTISTRY LLC

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

## Provider details

- **NPI number:** 1699402230
- **Authorized official:** ANGELA SWAIN (CREDENTIALING OPERATIONS MANAGER)
- **Authorized official phone:** (631) 414-7927

## Contact information

- **Practice address:** 1640 US HIGHWAY 22 E, WATCHUNG, NJ 07069-6503
- **Practice address phone:** (908) 388-1088
- **Practice address fax:** (631) 396-0452
- **Mailing address:** 105 MAXESS RD STE 107N, MELVILLE, NY 11747-3859
- **Mailing address phone:** (631) 414-7927
- **Mailing address fax:** (631) 396-0452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2022
- **Last updated:** 09/30/2026