| Jersey City Pediatric Dentistry, Llc | |
|
139 Newark Ave Jersey City NJ 07302-2811 | |
| (201) 434-3000 | |
| (201) 434-3001 |
| Full Name | Jersey City Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 139 Newark Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Wilma Y Mcpherson (PEDIATRIC DENTIST - OWNER) |
| Authorized Official Contact | 2014343000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey City Pediatric Dentistry, Llc 139 Newark Ave Jersey City NJ 07302-2811 Ph: (201) 434-3000 | Jersey City Pediatric Dentistry, Llc 139 Newark Ave Jersey City NJ 07302-2811 Ph: (201) 434-3000 |
| NPI Number | 1932537040 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 10/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932537040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 22DIO2356403 (New Jersey) | Primary |
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