# ADVANCED DENTAL LLC

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

## Provider details

- **NPI number:** 1912177015
- **Authorized official:** PETER D TSAMBAZIS DMD (OWNER, DENTIST, PERIODONTIST)
- **Authorized official phone:** (973) 586-4444

## Contact information

- **Practice address:** 490 E MAIN ST, SUITE \# 103, DENVILLE, NJ 07834-2484
- **Practice address phone:** (973) 586-4444
- **Practice address fax:** (973) 586-4455
- **Mailing address:** 490 E MAIN ST, SUITE \# 103, DENVILLE, NJ 07834-2484
- **Mailing address phone:** (973) 586-4444
- **Mailing address fax:** (973) 586-4455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1821819 | NJ | Yes |

## Other

- **Enumeration date:** 03/04/2008
- **Last updated:** 03/21/2016