| Summit Dental P.c. | |
|
17 Summit Ave Hackensack NJ 07601-1218 | |
| (201) 489-9777 | |
| (201) 489-9776 |
| Full Name | Summit Dental P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17 Summit Ave, Hackensack, New Jersey |
| Authorized Official Name and Position | Daniel Le Pera (PRESIDENT) |
| Authorized Official Contact | 2014899777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Dental P.c. 17 Summit Ave Hackensack NJ 07601-1218 Ph: (201) 489-9777 | Summit Dental P.c. 17 Summit Ave Hackensack NJ 07601-1218 Ph: (201) 489-9777 |
| NPI Number | 1093835480 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093835480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI 02031100 (New Jersey) | Primary |
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