Kelly Dental Arts | |
277 White Horse Pike Suite 104 Atco NJ 08004-2275 | |
(814) 404-8462 | |
Not Available |
Full Name | Kelly Dental Arts |
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Speciality | Dentist - General Practice |
Location | 277 White Horse Pike, Atco, New Jersey |
Authorized Official Name and Position | Dawn M Poli (MANAGING MEMBER) |
Authorized Official Contact | 8144048462 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kelly Dental Arts 277 White Horse Pike Suite 104 Atco NJ 08004-2275 Ph: (814) 404-8462 | Kelly Dental Arts 277 White Horse Pike Suite 104 Atco NJ 08004-2275 Ph: (814) 404-8462 |
NPI Number | 1578842951 |
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Provider Enumeration Date | 08/16/2011 |
Last Update Date | 08/16/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578842951 | NPI | - | NPPES |
1306076617 | Other | INDIVIDUAL NPI NUMBER OF DENTIST | |
1013082189 | Other | INDIVIDUAL NPI NUMBER OF DENTIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 22DI02260700 (New Jersey) | Primary |
Atco Family Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 White Horse Pike, Atco, NJ 08004 Phone: 856-767-6400 Fax: 856-767-8609 |