Elizabeth Avenue Dental Ctr | |
627 Elizabeth Avenue Elizabeth NJ 07206 | |
(908) 354-0030 | |
(908) 354-4029 |
Full Name | Elizabeth Avenue Dental Ctr |
---|---|
Speciality | Dentist |
Location | 627 Elizabeth Avenue, Elizabeth, New Jersey |
Authorized Official Name and Position | Mehmet S Dickengil (PRESIDENT OF CORPORATION) |
Authorized Official Contact | 9083540030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Avenue Dental Ctr 627 Elizabeth Avenue Elizabeth NJ 07206 Ph: (908) 354-0030 | Elizabeth Avenue Dental Ctr 627 Elizabeth Avenue Elizabeth NJ 07206 Ph: (908) 354-0030 |
NPI Number | 1538263603 |
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Provider Enumeration Date | 09/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538263603 | NPI | - | NPPES |
1436805 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DI15381 (New Jersey) | Primary |
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Banker Dental Associates, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Elmora Ave, Elizabeth, NJ 07202 Phone: 908-354-1490 Fax: 908-354-6996 | |
B & K Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Elizabeth Ave, Elizabeth, NJ 07201 Phone: 908-354-1500 Fax: 908-354-1502 | |
Otilia Marticorena, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 768 Newark Ave, Elizabeth, NJ 07208 Phone: 908-355-8555 Fax: 908-355-8590 |