| Main Street Dental | |
|
1375 Delsea Dr Deptford NJ 08096-1940 | |
| (856) 848-8787 | |
| Not Available |
| Full Name | Main Street Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1375 Delsea Dr, Deptford, New Jersey |
| Authorized Official Name and Position | Mark Giorno (OWNER) |
| Authorized Official Contact | 8588488787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental 1375 Delsea Dr Deptford NJ 08096 Ph: (856) 848-8787 | Main Street Dental 1375 Delsea Dr Deptford NJ 08096-1940 Ph: (856) 848-8787 |
| NPI Number | 1518302314 |
|---|---|
| Provider Enumeration Date | 05/07/2013 |
| Last Update Date | 05/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518302314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18081 (New Jersey) | Primary |
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