Organization
OP DENTAL MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH PHILLIP PRASAD D.M.D. (OWNER)
(973) 676-3700
Entity
Organization
Contact information
Practice address
325 CENTRAL AVE, ORANGE, NJ 07050-2407
(973) 676-3700
(973) 676-3701
Mailing address
325 CENTRAL AVE, ORANGE, NJ 07050-2407
(973) 676-3700
(973) 676-3701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01359501
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1394207
—
NJ
Enumeration date
01/03/2007
Last updated
08/22/2020
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