| Main Street Dental | |
|
333 N Broadway Pennsville NJ 08070-1247 | |
| (856) 678-4400 | |
| (856) 678-4808 |
| Full Name | Main Street Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 333 N Broadway, Pennsville, New Jersey |
| Authorized Official Name and Position | Mark M Giorno (OWNER) |
| Authorized Official Contact | 8566784400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental 333 N Broadway Pennsville NJ 08070-1247 Ph: (856) 678-4400 | Main Street Dental 333 N Broadway Pennsville NJ 08070-1247 Ph: (856) 678-4400 |
| NPI Number | 1396860524 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396860524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D1018081 (New Jersey) | Primary |
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