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NPI Code Detail

MEDICARE: SUMMIT DENTAL PARTNERS

MEDICARE: SUMMIT DENTAL PARTNERS
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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1790253615
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMIT DENTAL PARTNERS
Provider Business Mailing Address
First Line : 43 OVERLOOK RD
Second Line :
City : LIVINGSTON
State : NJ
Zip : 07039-1508
Country : US
Telephone Number : 973-216-1992
Fax Number :
Provider Business Practice Location Address
First Line : 779 SPRINGFIELD AVE
Second Line :
City : SUMMIT
State : NJ
Zip : 07901-2332
Country : US
Telephone Number : 908-499-8707
Fax Number :
Authorized Official
Title or Position : DR
Name : DR. JILL ROBIN SCHWARTZ-SACKS
Credential : DMD
Telephone Number : 908-499-8707
Provider Enumeration Date : 11/08/2018
Last Update Date : 11/08/2018

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Directions to “SUMMIT DENTAL PARTNERS ” Practice Location

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