| Advanced Dental Group, Inc. | |
|
629 Amboy Ave Ste 3 Edison NJ 08837-3579 | |
| (732) 661-0011 | |
| (732) 661-1335 |
| Full Name | Advanced Dental Group, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 629 Amboy Ave Ste 3, Edison, New Jersey |
| Authorized Official Name and Position | Nima M Patel (PRESIDENT) |
| Authorized Official Contact | 7326610011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Group, Inc. 629 Amboy Ave Ste 3 Edison NJ 08837-3579 Ph: (732) 661-0011 | Advanced Dental Group, Inc. 629 Amboy Ave Ste 3 Edison NJ 08837-3579 Ph: (732) 661-0011 |
| NPI Number | 1821145202 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821145202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02245600 (New Jersey) | Primary |
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