Organization
AMERICAN DENTAL CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA WICKE (OFFICE MANAGER)
(908) 688-0022
Entity
Organization
Contact information
Practice address
1441 MORRIS AVE, UNION, NJ 07083-3321
(908) 688-0022
(908) 851-9079
Mailing address
1441 MORRIS AVE, UNION, NJ 07083-3321
(908) 688-0022
(908) 851-9079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
09/15/2006
Last updated
09/11/2025
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