| Greentree Periodontics | |
|
9002 Lincoln Dr W Ste H Marlton NJ 08053-3204 | |
| (856) 983-3450 | |
| (856) 983-9877 |
| Full Name | Greentree Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 9002 Lincoln Dr W Ste H, Marlton, New Jersey |
| Authorized Official Name and Position | Seyed Shamseddin (OWNER) |
| Authorized Official Contact | 8569833450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greentree Periodontics 9002 Lincoln Dr W Suite H Marlton NJ 08053-3204 Ph: (856) 983-3450 | Greentree Periodontics 9002 Lincoln Dr W Ste H Marlton NJ 08053-3204 Ph: (856) 983-3450 |
| NPI Number | 1588677595 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588677595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 22DI02035800 (New Jersey) | Primary |
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