Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cory A. Wanatick, DMD, PA

Organization Periodontics · NPI 1508924754

Cory A. Wanatick, DMD, PA is a Periodontics in Fort Lee, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1563 Parker Ave
Fort Lee, NJ 07024-7002
Phone: (201) 461-4133
Fax: (201) 461-0796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DI018012 (NJ)

Record details

NPI number1508924754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cory Wanatick — President · (201) 461-4133
NPI enumeratedDecember 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1563 Parker Ave, Fort Lee, NJ 07024-7002

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