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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CORY A. WANATICK,D.M.D.,P.A.

Active Organization

CORY A. WANATICK,D.M.D.,P.A. is a Periodontology organization located in FORT LEE, New Jersey. NPI 1508924754 is currently active in the NPPES registry. Verify at CMS.

Periodontology · FORT LEE, NJ

Registration Details

NPI Number
1508924754
Provider Type
Organization
NPI Issued
Dec 4, 2006 (19.719763273564 yrs)
Last Updated
Aug 22, 2020
License
DI018012 (NJ)

Practice Information

Address
1563 PARKER AVE
FORT LEE, NJ, 070247002
Browse NJ providers · Browse ZIP 07024
Phone
2014614133
Fax
2014610796
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Organizations in FORT LEE, NJ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.