Provider Demographics
NPI:1346329067
Name:LANDING DENTAL OFFICE PC
Entity Type:Organization
Organization Name:LANDING DENTAL OFFICE PC
Other - Org Name:ARLINGTON DENTAL ASSOC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PENNACCHIO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-770-1700
Mailing Address - Street 1:22 HOWARD BLVD
Mailing Address - Street 2:
Mailing Address - City:MT ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07856
Mailing Address - Country:US
Mailing Address - Phone:973-770-1700
Mailing Address - Fax:
Practice Address - Street 1:22 HOWARD BLVD
Practice Address - Street 2:STE 202 LANDING DENTAL OFFICE PC
Practice Address - City:MT ARLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07856
Practice Address - Country:US
Practice Address - Phone:973-770-1700
Practice Address - Fax:973-770-1800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ12542122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty