Great Smiles Of New Jersey Llc | |
10 Shawnee Dr Suite A5 Watchung NJ 07069-5803 | |
(908) 561-0225 | |
(908) 561-0343 |
Full Name | Great Smiles Of New Jersey Llc |
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Speciality | Dentist |
Location | 10 Shawnee Dr, Watchung, New Jersey |
Authorized Official Name and Position | Michelle Sabater-weddle (OWNER AND MANAGER) |
Authorized Official Contact | 9085610225 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Great Smiles Of New Jersey Llc 10 Shawnee Dr Suite A5 Watchung NJ 07069-5803 Ph: (908) 561-0225 | Great Smiles Of New Jersey Llc 10 Shawnee Dr Suite A5 Watchung NJ 07069-5803 Ph: (908) 561-0225 |
NPI Number | 1477622140 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 09/17/2020 |
Medicare PECOS PAC ID | 0446660187 |
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Medicare Enrollment ID | O20201106002488 |
Identifier | Type | State | Issuer |
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1477622140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (New Jersey) | Primary |
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