Advaced Dental Associates Of South Orange | |
45 Prospect St South Orange NJ 07079-2100 | |
(973) 763-2940 | |
(973) 763-0906 |
Full Name | Advaced Dental Associates Of South Orange |
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Speciality | Dentist - General Practice |
Location | 45 Prospect St, South Orange, New Jersey |
Authorized Official Name and Position | Steven Koretzky (VICE PRESIDENT) |
Authorized Official Contact | 9737632940 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advaced Dental Associates Of South Orange 41 Wyckoff Dr Pittstown NJ 08867-4235 Ph: (973) 763-2940 | Advaced Dental Associates Of South Orange 45 Prospect St South Orange NJ 07079-2100 Ph: (973) 763-2940 |
NPI Number | 1386773844 |
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Provider Enumeration Date | 03/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386773844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 22DI01951600 (New Jersey) | Primary |
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