| Ez Dental Asso Llc | |
|
1139 Burnt Tavern Rd Brick NJ 08724-1472 | |
| (732) 458-7500 | |
| (732) 840-6619 |
| Full Name | Ez Dental Asso Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1139 Burnt Tavern Rd, Brick, New Jersey |
| Authorized Official Name and Position | Frederick Raymond Zimmerman (PRESIDENT) |
| Authorized Official Contact | 7324587500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ez Dental Asso Llc 1139 Burnt Tavern Rd Brick NJ 08724 Ph: (732) 458-7500 | Ez Dental Asso Llc 1139 Burnt Tavern Rd Brick NJ 08724-1472 Ph: (732) 458-7500 |
| NPI Number | 1275541922 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275541922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15144 (New Jersey) | Secondary |
| 1223G0001X | Dentist - General Practice | 20098 (New Jersey) | Primary |
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