| Edgewater Dental Partners, Pc | |
|
725 River Rd Ste 104 Edgewater NJ 07020-1170 | |
| (917) 513-6419 | |
| Not Available |
| Full Name | Edgewater Dental Partners, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 725 River Rd Ste 104, Edgewater, New Jersey |
| Authorized Official Name and Position | Lewis Chen (MANAGING PARTNER) |
| Authorized Official Contact | 9175136419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgewater Dental Partners, Pc Po Box 1118 Fort Lee NJ 07024-1118 Ph: () - | Edgewater Dental Partners, Pc 725 River Rd Ste 104 Edgewater NJ 07020-1170 Ph: (917) 513-6419 |
| NPI Number | 1922572478 |
|---|---|
| Provider Enumeration Date | 01/17/2019 |
| Last Update Date | 02/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922572478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
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