Main Street Dental | |
2581 E Chestnut Ave Suite A Vineland NJ 08361-8487 | |
(856) 692-1660 | |
(856) 507-0549 |
Full Name | Main Street Dental |
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Speciality | Dentist - General Practice |
Location | 2581 E Chestnut Ave, Vineland, New Jersey |
Authorized Official Name and Position | Mark M Giorno (OWNER) |
Authorized Official Contact | 8566921660 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Main Street Dental 2581 E Chestnut Ave Suite A Vineland NJ 08361-8487 Ph: (856) 692-1660 | Main Street Dental 2581 E Chestnut Ave Suite A Vineland NJ 08361-8487 Ph: (856) 692-1660 |
NPI Number | 1710002944 |
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Provider Enumeration Date | 03/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710002944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D1018081 (New Jersey) | Primary |
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