| Center For Dentistry At Humc | |
|
30 Prospect Ave Hackensack NJ 07601-1914 | |
| (201) 996-2111 | |
| (201) 996-2334 |
| Full Name | Center For Dentistry At Humc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 30 Prospect Ave, Hackensack, New Jersey |
| Authorized Official Name and Position | Michael Beals (MNG. DIRECTOR, CENTER FOR DENTISTRY) |
| Authorized Official Contact | 2019965674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Dentistry At Humc 30 Prospect Ave Hackensack NJ 07601-1914 Ph: (201) 996-2111 | Center For Dentistry At Humc 30 Prospect Ave Hackensack NJ 07601-1914 Ph: (201) 996-2111 |
| NPI Number | 1104091644 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 04/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104091644 | NPI | - | NPPES |
| 0137456 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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