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1945 State Route 33 Neptune NJ 07753-4859 | |
| (732) 775-5500 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1945 State Route 33, Neptune, New Jersey |
| Authorized Official Name and Position | John Gantner (SENIOR VP, FINANCE & CFO) |
| Authorized Official Contact | 7327517520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2020 6th Ave Neptune NJ 07753-6109 Ph: (732) 897-7194 | 1945 State Route 33 Neptune NJ 07753-4859 Ph: (732) 775-5500 |
| NPI Number | 1346340072 |
|---|---|
| Provider Enumeration Date | 09/23/2006 |
| Last Update Date | 02/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346340072 | NPI | - | NPPES |
| 3675734 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Secondary |
Jersey Shore Dental Group Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1820 State Route 33, Neptune, NJ 07753 Phone: 732-774-5772 Fax: 732-774-5537 | |
Neptune Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 State Route 33, Neptune, NJ 07753 Phone: 732-774-0077 Fax: 732-988-1176 | |
Jersey Shore Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1820 Corlies Ave, Suite 8, Neptune, NJ 07755 Phone: 732-774-5772 | |