Jonathan A Nitche Dmd Llc | |
556 Eagle Rock Ave Suite 103 Roseland NJ 07068-1503 | |
(973) 228-5545 | |
(973) 228-3863 |
Full Name | Jonathan A Nitche Dmd Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 556 Eagle Rock Ave, Roseland, New Jersey |
Authorized Official Name and Position | Jonathan Albert Nitche (OWNER) |
Authorized Official Contact | 9732285545 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jonathan A Nitche Dmd Llc 556 Eagle Rock Ave Suite 103 Roseland NJ 07068-1503 Ph: (973) 228-5545 | Jonathan A Nitche Dmd Llc 556 Eagle Rock Ave Suite 103 Roseland NJ 07068-1503 Ph: (973) 228-5545 |
NPI Number | 1366616393 |
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Provider Enumeration Date | 04/22/2008 |
Last Update Date | 04/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366616393 | NPI | - | NPPES |
1700974664 | Other | INDIVIDUAL NPI | |
1114941333 | Other | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 21571 (New Jersey) | Primary |
Frederick J Carbone Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 157 Eagle Rock Ave, Roseland, NJ 07068 Phone: 973-228-0039 Fax: 973-228-9073 |