| Jack Legon Dmd Pa | |
|
40 Park Pl Newton NJ 07860-1747 | |
| (973) 383-5700 | |
| (973) 383-4131 |
| Full Name | Jack Legon Dmd Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 40 Park Pl, Newton, New Jersey |
| Authorized Official Name and Position | Jack Legon (DENTIST/OWNER) |
| Authorized Official Contact | 9733835700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Legon Dmd Pa 40 Park Pl Newton NJ 07860-1747 Ph: (973) 383-5700 | Jack Legon Dmd Pa 40 Park Pl Newton NJ 07860-1747 Ph: (973) 383-5700 |
| NPI Number | 1235150335 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235150335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10842 (New Jersey) | Primary |
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