| Dentistry Of South Jersey - West Deptford | |
|
640 Kings Hwy West Deptford NJ 08096-3145 | |
| (856) 845-4225 | |
| (856) 845-4221 |
| Full Name | Dentistry Of South Jersey - West Deptford |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 640 Kings Hwy, West Deptford, 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 - West Deptford 640 Kings Hwy West Deptford NJ 08096-3145 Ph: (856) 845-4225 | Dentistry Of South Jersey - West Deptford 640 Kings Hwy West Deptford NJ 08096-3145 Ph: (856) 845-4225 |
| NPI Number | 1700046216 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 05/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700046216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02152700 (New Jersey) | Primary |
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