| |
125 W Broad St Paulsboro NJ 08066-1525 | |
(856) 224-1700 | |
(856) 423-5569 |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 125 W Broad St, Paulsboro, New Jersey |
Authorized Official Name and Position | John Gregory Krinks (PRESIDENT/OWNER) |
Authorized Official Contact | 8562241700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
125 W Broad St Paulsboro NJ 08066-1525 Ph: (856) 224-1700 | 125 W Broad St Paulsboro NJ 08066-1525 Ph: (856) 224-1700 |
NPI Number | 1497868756 |
---|---|
Provider Enumeration Date | 08/17/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497868756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 22DI01114000 (New Jersey) | Primary |