| Lafayette Family Dentistry Mgmt Inc | |
|
540 Lafayette Avenue Hawthorne NJ 07506 | |
| (973) 304-0700 | |
| (973) 304-2013 |
| Full Name | Lafayette Family Dentistry Mgmt Inc |
|---|---|
| Speciality | Dentist |
| Location | 540 Lafayette Avenue, Hawthorne, New Jersey |
| Authorized Official Name and Position | David Cherkez (GENERAL MANAGER) |
| Authorized Official Contact | 2014888866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafayette Family Dentistry Mgmt Inc 520 Summit Avenue Hackensack NJ 07601 Ph: (201) 488-9030 | Lafayette Family Dentistry Mgmt Inc 540 Lafayette Avenue Hawthorne NJ 07506 Ph: (973) 304-0700 |
| NPI Number | 1639292410 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639292410 | NPI | - | NPPES |
| 0009890 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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