| Lincoln Commons Dental Assoc, Pa | |
|
59 Beaverbrook Rd Suite 301 Lincoln Park NJ 07035-1794 | |
| (973) 686-0060 | |
| (973) 686-0770 |
| Full Name | Lincoln Commons Dental Assoc, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 59 Beaverbrook Rd, Lincoln Park, New Jersey |
| Authorized Official Name and Position | Mark Defonte (DENTIST) |
| Authorized Official Contact | 9736860060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Commons Dental Assoc, Pa 59 Beaverbrook Road Suite 301 Lincoln Park NJ 07035 Ph: (973) 686-0060 | Lincoln Commons Dental Assoc, Pa 59 Beaverbrook Rd Suite 301 Lincoln Park NJ 07035-1794 Ph: (973) 686-0060 |
| NPI Number | 1295940542 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295940542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17918 (New Jersey) | Primary |
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