CORY A. WANATICK,D.M.D.,P.A.
NPI 1508924754
Dentist - Periodontics in Fort Lee, NJ

Q: What is Cory A. Wanatick,d.M.D.,p.A.'s NPI number?

The NPI number for Cory A. Wanatick,d.M.D.,p.A. is 1508924754. It was assigned to this organization in the NPPES registry on December 4, 2006.

Q: What is Cory A. Wanatick,d.M.D.,p.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since December 04, 2006

1563 PARKER AVE, FORT LEE, NJ 07024(201) 461-4133(201) 461-0796 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cory A. Wanatick,d.m.d.,p.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORY A. WANATICK,D.M.D.,P.A. (NPI 1508924754) is a healthcare organization registered as a periodontics in Fort Lee, New Jersey and active in the NPI registry since December 2006. The organization lists Cory A Wanatick, President, as its authorized official.

NPPES Registry Identity

NPI1508924754

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameCORY A. WANATICK,D.M.D.,P.A.

Location Address1563 PARKER AVEFort Lee, NJ 07024-7002

Mailing Address1563 Parker AveFort Lee, NJ 07024-7002 · (201) 461-4133 · Fax (201) 461-0796

Phone(201) 461-4133

Fax(201) 461-0796

Organization SubpartNo

Authorized OfficialCory A WanatickPresident · (201) 461-4133

Enumeration DateDecember 4, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1508924754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in NJ · DI018012

Definition

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.

1563 PARKER AVE, Fort Lee, NJ 07024

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cory A. Wanatick,d.M.D.,p.A.'s NPI number?

The NPI number for Cory A. Wanatick,d.M.D.,p.A. is 1508924754. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Cory A. Wanatick,d.M.D.,p.A. located?

Cory A. Wanatick,d.M.D.,p.A. is located at 1563 Parker Ave, Fort Lee, NJ 07024. The listed phone number is (201) 461-4133.

What is Cory A. Wanatick,d.M.D.,p.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Cory A. Wanatick,d.M.D.,p.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.