| Dr Michael J Cisar, Dmd & Dr William L Derrickson, Dmd, Llc | |
|
709 Sycamore Ave Tinton Falls NJ 07701-4946 | |
| (732) 842-6300 | |
| (732) 842-3467 |
| Full Name | Dr Michael J Cisar, Dmd & Dr William L Derrickson, Dmd, Llc |
|---|---|
| Speciality | Dentist |
| Location | 709 Sycamore Ave, Tinton Falls, New Jersey |
| Authorized Official Name and Position | Michael J Cisar (DENTIST) |
| Authorized Official Contact | 7328426300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael J Cisar, Dmd & Dr William L Derrickson, Dmd, Llc 709 Sycamore Ave Tinton Falls NJ 07701-4946 Ph: (732) 842-6300 | Dr Michael J Cisar, Dmd & Dr William L Derrickson, Dmd, Llc 709 Sycamore Ave Tinton Falls NJ 07701-4946 Ph: (732) 842-6300 |
| NPI Number | 1689885345 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689885345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DI21287 (New Jersey) | Primary |
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