Organization
DENTART OF PARAMUS
Active
Other names
Dental Health 360
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRY STILLMAN DDS (OWNER)
(201) 497-1666
Entity
Organization
Contact information
Practice address
501 N RTE 17, PARAMUS, NJ 07652-3000
(201) 497-1666
(201) 497-1667
Mailing address
501 N RTE 17, PARAMUS, NJ 07652-3000
(201) 497-1666
(201) 497-1667
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI01990900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137375
—
NJ
Enumeration date
04/04/2017
Last updated
04/04/2017
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