David A. Lederman, Dmd, Pa | |
507 Stillwells Corner Rd. Freehold NJ 07728-2965 | |
(732) 462-8181 | |
(732) 866-8830 |
Full Name | David A. Lederman, Dmd, Pa |
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Speciality | Dentist |
Location | 507 Stillwells Corner Rd., Freehold, New Jersey |
Authorized Official Name and Position | David A. Lederman (PRESIDENT) |
Authorized Official Contact | 7324628181 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
David A. Lederman, Dmd, Pa 507 Stillwells Corner Rd. Freehold NJ 07728-2965 Ph: (732) 462-8181 | David A. Lederman, Dmd, Pa 507 Stillwells Corner Rd. Freehold NJ 07728-2965 Ph: (732) 462-8181 |
NPI Number | 1326231663 |
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Provider Enumeration Date | 08/21/2007 |
Last Update Date | 08/21/2007 |
Medicare PECOS PAC ID | 4880600741 |
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Medicare Enrollment ID | O20060303000017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326231663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0106X | Dentist - Oral And Maxillofacial Pathology | 22DI00823500 (New Jersey) | Primary |
Provider Name | David A Lederman |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1578587408 PECOS PAC ID: 4082620869 Enrollment ID: I20060306000743 |
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