Antonellis, Peter John
Antonellis, Peter John is an individual health care provider with primary practice located at 170 Changebridge Rd Unit C 5-2, Montville NJ 07045-9115. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Antonellis, Peter John can be contacted via phone (973) 227-1132.Contact Information
Primary practice address
170 Changebridge Rd Unit C 5-2
Montville NJ 07045-9115
Phone: (973) 227-1132
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 13056 | New Jersey |
Profile Details
NPI number | 1851474142 |
---|---|
LBN Legal business name | Antonellis, Peter John |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 23rd, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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