Visiting Dental Associates | |
1999 Cedar Bridge Ave Ste 3d Lakewood NJ 08701 | |
(201) 670-0097 | |
(201) 445-0225 |
Full Name | Visiting Dental Associates |
---|---|
Speciality | Dentist - General Practice |
Location | 1999 Cedar Bridge Ave, Lakewood, New Jersey |
Authorized Official Name and Position | Brandon Statfeld (CEO) |
Authorized Official Contact | 2016700097 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Visiting Dental Associates 1999 Cedar Bridge Ave Ste 3d Lakewood NJ 08701 Ph: (201) 670-0097 | Visiting Dental Associates 1999 Cedar Bridge Ave Ste 3d Lakewood NJ 08701 Ph: (201) 670-0097 |
NPI Number | 1730587783 |
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Provider Enumeration Date | 12/08/2014 |
Last Update Date | 11/08/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730587783 | NPI | - | NPPES |
0448354 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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