| Innova Dental Services Llc | |
|
155 S New Prospect Rd Jackson NJ 08527-1734 | |
| (732) 364-1700 | |
| (732) 364-0870 |
| Full Name | Innova Dental Services Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 155 S New Prospect Rd, Jackson, New Jersey |
| Authorized Official Name and Position | Jeffrey T Rothstein (DENTIST) |
| Authorized Official Contact | 7323641700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innova Dental Services Llc 155 S New Prospect Rd Jackson NJ 08527-1734 Ph: (732) 364-1700 | Innova Dental Services Llc 155 S New Prospect Rd Jackson NJ 08527-1734 Ph: (732) 364-1700 |
| NPI Number | 1275098881 |
|---|---|
| Provider Enumeration Date | 02/07/2019 |
| Last Update Date | 02/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275098881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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