Organization
GUTTENBERG DENTAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH P PRASAD D.M.D. (PRESIDENT)
(201) 861-6000
Entity
Organization
Contact information
Practice address
6800 BERGENLINE AVE, GUTTENBERG, NJ 07093-1826
(201) 861-6000
(201) 861-6002
Mailing address
6800 BERGENLINE AVE, GUTTENBERG, NJ 07093-1826
(201) 861-6000
(201) 861-6002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI-13595
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5562805
—
NJ
Enumeration date
10/13/2005
Last updated
08/22/2020
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