| 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 |
|---|---|
| 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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