| Clinton Hill Dental Assoc | |
|
804 Cinton Ave Newark NJ 07108-1004 | |
| (973) 374-5200 | |
| (973) 374-5609 |
| Full Name | Clinton Hill Dental Assoc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 804 Cinton Ave, Newark, New Jersey |
| Authorized Official Name and Position | Theodore Davis (DENTIST) |
| Authorized Official Contact | 9733745200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton Hill Dental Assoc 804 Cinton Ave Newark NJ 07108-1004 Ph: (973) 374-5200 | Clinton Hill Dental Assoc 804 Cinton Ave Newark NJ 07108-1004 Ph: (973) 374-5200 |
| NPI Number | 1407989254 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407989254 | NPI | - | NPPES |
| 3414507 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2108128 (New Jersey) | Primary |
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