| Bagley Family Dentistry | |
|
508 Front St Elmer NJ 08318-2178 | |
| (856) 358-2626 | |
| Not Available |
| Full Name | Bagley Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 508 Front St, Elmer, New Jersey |
| Authorized Official Name and Position | Jacob M Bagley (DENTIST / OWNER) |
| Authorized Official Contact | 8563582626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bagley Family Dentistry 508 Front St Elmer NJ 08318-2178 Ph: (856) 358-2626 | Bagley Family Dentistry 508 Front St Elmer NJ 08318-2178 Ph: (856) 358-2626 |
| NPI Number | 1154674232 |
|---|---|
| Provider Enumeration Date | 10/26/2012 |
| Last Update Date | 08/23/2019 |
| Medicare PECOS PAC ID | 4486982717 |
|---|---|
| Medicare Enrollment ID | O20190826000746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154674232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
Alon Dental Associates, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 Front St, Elmer, NJ 08318 Phone: 856-358-8303 Fax: 856-358-9145 | |
Rbgs Partners Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 Front Street, Elmer, NJ 08318 Phone: 856-358-8303 |