| Deforte Dentistry | |
|
4 Swimming River Rd Lincroft NJ 07738-1727 | |
| (732) 747-7755 | |
| Not Available |
| Full Name | Deforte Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4 Swimming River Rd, Lincroft, New Jersey |
| Authorized Official Name and Position | Carolyn J Deforte (OWNER) |
| Authorized Official Contact | 7327477755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deforte Dentistry 4 Swimming River Rd Lincroft NJ 07738-1727 Ph: (732) 747-7755 | Deforte Dentistry 4 Swimming River Rd Lincroft NJ 07738-1727 Ph: (732) 747-7755 |
| NPI Number | 1689960437 |
|---|---|
| Provider Enumeration Date | 06/21/2011 |
| Last Update Date | 06/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689960437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DI19735 (New Jersey) | Primary |
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