PERIO CARE SPA, PC (NPI# 1902962632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902962632 |
| Entity Type | Organization |
| Organization Name | PERIO CARE SPA, PC |
| Practice Address |
1050 Kings Hwy N Ste 104 Cherry Hill NJ 08034-1909 |
| Practice Telephone | 8567550992 |
| Mailing Telephone | 8567550992 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. IRA L EISENSTEIN (OWNER) |
| Authorized Official Telephone | 8567550992 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
22D101115000 | NJ | Dental Providers |
| Street Address |
1050 KINGS HWY N STE 104 |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08034-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821606054 | Glickman Psychological Services, LLC | Psychologist | 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 | 2020-07-14 |
| 1215455225 | Arc of Camden County Millhurst Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 141 Hayes Mill Road, Apt 218, Cherry Hill, NJ 08034 | 2017-08-30 |
| 1144748120 | Arc of Camden County Chanticleer Drive Supported Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 712 Chanticleer Drive, Cherry Hill, NJ 08034 | 2017-08-30 |
| 1124558689 | 1 Choice Home Health Care, LLC | Home Health | 1409 E. Highway 70, Barclay Pavilion, Suite 207w, Cherry Hill, NJ 08034 | 2017-06-18 |
| 1205362621 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Wayland Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1598291940 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Brookdale Dr, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1861928285 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Portsmouth Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1265967954 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8 Farmhouse Ln, Maple Shade, NJ 08034 | 2017-05-01 |
| 1023543709 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 407 Cranford Rd, Cherry Hill, NJ 08034 | 2017-05-01 |
| 1588199269 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Colgate Drive, Cherry Hill, NJ 08034 | 2017-05-01 |
| Find all providers in zip 08034 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
| 1043457401 | Shahin Kazemi | Dentist | 1416 Brace Rd, Cherry Hill, NJ 08034 | 2009-01-07 |
| 1962649327 | Michael D Yasner | Dentist | 1416 Brace Rd., Cherry Hill, NJ 08034 | 2009-01-07 |
| 1326257726 | Fredrick Joesph Tisot | Dentist | 820 Kings Hwy S, Cherry Hill, NJ 08034-2520 | 2007-05-22 |
| 1700941028 | Dr Sullivan Dr Yasner Dr Kazemi LLC | Dentist | 1416 Brace Road, Cherry Hill, NJ 08034-3523 | 2006-12-27 |
| 1205914322 | Ira L Eisenstein | Dentist | 1050 N Kings Hwy, Ste 104, Cherry Hill, NJ 08034 | 2006-11-02 |
| 1366466104 | Robert M. Benedon | Dentist | 1878 Marlton Pike E Ste 3, Cherry Hill, NJ 08003-2090 | 2006-07-26 |
| 1871920827 | Precision Periodontics, LLC | Dentist | 1765 Springdale Rd, Suite C-1, Cherry Hill, NJ 08003-2177 | 2013-10-07 |
| 1235576182 | Atlas Dental Specialty Associates LLC | Dentist | 63 Kresson Rd, Suite 102, Cherry Hill, NJ 08034-3200 | 2013-06-03 |
| 1215174677 | Michael F Sullivan | Dentist | 1416 Brace Rd., Only 1 Office, Cherry Hill, NJ 08034 | 2009-01-07 |
| Find all providers in CHERRY HILL | ||||
| City | CHERRY HILL |
| Zip Code | 08034 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.