| Bridgewater-greenbrook Dental L.l.p | |
|
257 Route 22 East Suite C Green Brook NJ 08812 | |
| (732) 968-0086 | |
| Not Available |
| Full Name | Bridgewater-greenbrook Dental L.l.p |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 257 Route 22 East, Green Brook, New Jersey |
| Authorized Official Name and Position | Jay Robert Bloom (PARTNER) |
| Authorized Official Contact | 7329680086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgewater-greenbrook Dental L.l.p 257 Route 22 East Suite C Green Brook NJ 08812 Ph: (732) 968-0086 | Bridgewater-greenbrook Dental L.l.p 257 Route 22 East Suite C Green Brook NJ 08812 Ph: (732) 968-0086 |
| NPI Number | 1326251307 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326251307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14553 (New Jersey) | Primary |
| 1223P0300X | Dentist - Periodontics | 14553 (New Jersey) | Primary |
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