| Fields Cosmetic & Family Dentistry, Llc | |
|
170 Changebridge Rd Suite C-1a Montville NJ 07045-9115 | |
| (973) 227-7110 | |
| (973) 227-7118 |
| Full Name | Fields Cosmetic & Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 170 Changebridge Rd, Montville, New Jersey |
| Authorized Official Name and Position | David Fields (OWNER) |
| Authorized Official Contact | 9732277110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fields Cosmetic & Family Dentistry, Llc 170 Changebridge Rd Suite C-1a Montville NJ 07045-9115 Ph: (973) 227-7110 | Fields Cosmetic & Family Dentistry, Llc 170 Changebridge Rd Suite C-1a Montville NJ 07045-9115 Ph: (973) 227-7110 |
| NPI Number | 1942392881 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942392881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI021615 (New Jersey) | Primary |
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