| Dentium Dental | |
|
965 Avenue C Bayonne NJ 07002-3019 | |
| (201) 339-3993 | |
| Not Available |
| Full Name | Dentium Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 965 Avenue C, Bayonne, New Jersey |
| Authorized Official Name and Position | Reshma Shetty (DENTIST) |
| Authorized Official Contact | 7329798008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentium Dental 135 Montgomery St Apt 16f Jersey City NJ 07302-4628 Ph: (201) 339-3993 | Dentium Dental 965 Avenue C Bayonne NJ 07002-3019 Ph: (201) 339-3993 |
| NPI Number | 1003399882 |
|---|---|
| Provider Enumeration Date | 09/08/2018 |
| Last Update Date | 09/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003399882 | NPI | - | NPPES |
| 0291323 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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