Organization
PERIODONTICS CENTER
Active
Parent organization
PERIODONTICS CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERIODONTICS CENTER
Authorized official
KIM YACONO (OFFICE MANAGER)
(973) 379-6400
Entity
Organization
Contact information
Practice address
116 MILLBURN AVE STE 204, MILLBURN, NJ 07041-1919
(973) 379-6400
(973) 379-6430
Mailing address
116 MILLBURN AVE STE 204, MILLBURN, NJ 07041-1919
(973) 379-6400
(973) 379-6430
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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