| Main Street Dental | |
|
538 Beckett Rd Logan Township NJ 08085-1732 | |
| (856) 241-8600 | |
| (856) 241-8601 |
| Full Name | Main Street Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 538 Beckett Rd, Logan Township, New Jersey |
| Authorized Official Name and Position | Mark M Giorno (OWNER) |
| Authorized Official Contact | 8562418600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental 538 Beckett Rd Logan Township NJ 08085-1732 Ph: (856) 241-8600 | Main Street Dental 538 Beckett Rd Logan Township NJ 08085-1732 Ph: (856) 241-8600 |
| NPI Number | 1679697239 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679697239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D1018081 (New Jersey) | Primary |