| Dentistry Of South Jersey-pennsville | |
|
160 S Broadway Pennsville NJ 08070-2220 | |
| (856) 678-5124 | |
| Not Available |
| Full Name | Dentistry Of South Jersey-pennsville |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 160 S Broadway, Pennsville, New Jersey |
| Authorized Official Name and Position | Douglas Sherly (PRESIDENT) |
| Authorized Official Contact | 6095605902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry Of South Jersey-pennsville 160 S Broadway Pennsville NJ 08070-2220 Ph: (856) 678-5124 | Dentistry Of South Jersey-pennsville 160 S Broadway Pennsville NJ 08070-2220 Ph: (856) 678-5124 |
| NPI Number | 1619722469 |
|---|---|
| Provider Enumeration Date | 04/23/2024 |
| Last Update Date | 05/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619722469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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