Digitally Enhanced Dentistry | |
110 Hillside Blvd, Suite 5 Lakewood NJ 08701 | |
(732) 333-3383 | |
(815) 301-9612 |
Full Name | Digitally Enhanced Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 110 Hillside Blvd, Suite 5, Lakewood, New Jersey |
Authorized Official Name and Position | Jonathan S S Ungar (OWNER) |
Authorized Official Contact | 7323333383 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Digitally Enhanced Dentistry 110 Hillside Blvd, Suite 5 Lakewood NJ 08701 Ph: (732) 333-3383 | Digitally Enhanced Dentistry 110 Hillside Blvd, Suite 5 Lakewood NJ 08701 Ph: (732) 333-3383 |
NPI Number | 1518099472 |
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Provider Enumeration Date | 03/09/2007 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518099472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (New Jersey) | Secondary |
122300000X | Dentist | (New Jersey) | Secondary |
1223G0001X | Dentist - General Practice | (New Jersey) | Primary |
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