Whalio Doctors

NPI 1073767281

Central Jersey Pediatric Dentistry & Orthodontics LLC

Organisation Pediatric Dentistry East Brunswick, NJ

Practice location

Address
176 Summerhill Rd, East Brunswick, NJ 08816-4908
Phone
(732) 257-5588
Fax
(732) 257-9189

Authorised official

Name
Michelle May Backhaus
Title
Owner/ Pediatric Dentist
Phone
(732) 257-5588

Registered specialties (2)

Pediatric Dentistry Primary
Dental Providers Taxonomy 1223P0221X Licence 22DI02292000 (NJ)
Orthodontics and Dentofacial Orthopedics Dentistry
Dental Providers Taxonomy 1223X0400X Licence 22DI02295100 (NJ)

Registry record

NPI
1073767281
Entity type
Organization
NPI issued
14 Nov 2008
Record last updated
14 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.