Provider Demographics
NPI:1346657517
Name:PRECIOUS PEARLS PEDIATRIC DENTISTRY
Entity Type:Organization
Organization Name:PRECIOUS PEARLS PEDIATRIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJEED
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-681-5652
Mailing Address - Street 1:140 MOUNTAIN AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-1737
Mailing Address - Country:US
Mailing Address - Phone:201-681-5652
Mailing Address - Fax:
Practice Address - Street 1:140 MOUNTAIN AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1737
Practice Address - Country:US
Practice Address - Phone:201-681-5652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-18
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI024009001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty