MEDICARE: PLAINFIELD DENTAL ASSOCIATES PC

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1649961707
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLAINFIELD DENTAL ASSOCIATES PC

Provider Business Mailing Address
First Line	:	400 W FRONT ST STE 2
Second Line	:
City	:	PLAINFIELD
State	:	NJ
Zip	:	07060-1173
Country	:	US
Telephone Number	:	908-663-4200
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 W FRONT ST STE 2
Second Line	:
City	:	PLAINFIELD
State	:	NJ
Zip	:	07060-1173
Country	:	US
Telephone Number	:	908-663-4200
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NEETU BHANUSHALI
Credential	:	DDS
Telephone Number	:	908-663-4200

Provider Enumeration Date	:	05/18/2023
Last Update Date	:	05/18/2023

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