South Mountain Dental Specialty Group
South Mountain Dental Specialty Group is a Periodontics in South Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.
- Licensed in
- NJ
- In the registry since
- 2007
Practice location Address checks out
71 Valley St SUITE103South Orange, NJ 07079
Phone: (973) 378-2070
Fax: (973) 378-8334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 15383 (NJ) |
|---|
Record details
| NPI number | 1063634137 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ralph Gray — Partner · (973) 378-2070 |
| NPI enumerated | May 2, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 71 Valley St, Suite103, South Orange, NJ 07079 |
Other providers in South Orange
-
Dr. Ralph Charles Gray Sr., DDS
71 Valley St SUITE103, South Orange, NJ 07079-2835 · (973) 378-2070
-
Dr. Gregory Lamorte, DDS
202 S Orange Ave, South Orange, NJ 07079-2202 · (973) 762-1881