| American Dental Group Llc | |
|
14 Winfield Scott Plz Elizabeth NJ 07201-2443 | |
| (908) 353-5400 | |
| (908) 353-7273 |
| Full Name | American Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14 Winfield Scott Plz, Elizabeth, New Jersey |
| Authorized Official Name and Position | Othmane Seddiki (OWNER) |
| Authorized Official Contact | 9083535400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Dental Group Llc 14 Winfield Scott Plz Elizabeth NJ 07201-2443 Ph: (908) 353-5400 | American Dental Group Llc 14 Winfield Scott Plz Elizabeth NJ 07201-2443 Ph: (908) 353-5400 |
| NPI Number | 1386940096 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 01/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386940096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02386200 (New Jersey) | Primary |
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