| Good Care Dental Pc | |
|
1509 Palisade Ave Fl 1 Fort Lee NJ 07024-5345 | |
| (201) 461-2828 | |
| Not Available |
| Full Name | Good Care Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 1509 Palisade Ave Fl 1, Fort Lee, New Jersey |
| Authorized Official Name and Position | Joon Hong (DOCTOR) |
| Authorized Official Contact | 2014612828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Care Dental Pc 1509 Palisade Ave Fl 1 Fort Lee NJ 07024-5345 Ph: (201) 461-2828 | Good Care Dental Pc 1509 Palisade Ave Fl 1 Fort Lee NJ 07024-5345 Ph: (201) 461-2828 |
| NPI Number | 1093494429 |
|---|---|
| Provider Enumeration Date | 07/13/2023 |
| Last Update Date | 07/14/2023 |
| Medicare PECOS PAC ID | 1254793227 |
|---|---|
| Medicare Enrollment ID | O20230809000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093494429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Joon Hong |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1750360582 PECOS PAC ID: 2860712338 Enrollment ID: I20230809000536 |
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