MEDICARE: ALAN S ZWILLINGER DDS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	11952	NJ

General Provider Information

NPI Number	:	1689767634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAN S ZWILLINGER DDS PA

Provider Business Mailing Address
First Line	:	400 FRANKLIN TPKE
Second Line	:	SUITE 206
City	:	MAHWAH
State	:	NJ
Zip	:	07430-3516
Country	:	US
Telephone Number	:	201-825-8766
Fax Number	:	201-825-2548

Provider Business Practice Location Address
First Line	:	400 FRANKLIN TPKE
Second Line	:	SUITE 206
City	:	MAHWAH
State	:	NJ
Zip	:	07430-3516
Country	:	US
Telephone Number	:	201-825-8766
Fax Number	:	201-825-2548

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALAN S ZWILLINGER
Credential	:	DDS
Telephone Number	:	201-825-8766

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	08/22/2020

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