| Main Street Family Dentistry, Pc | |
|
76 N Main St Medford NJ 08055-2720 | |
| (609) 953-7199 | |
| Not Available |
| Full Name | Main Street Family Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 76 N Main St, Medford, New Jersey |
| Authorized Official Name and Position | Kenneth S Hoover (OWNER) |
| Authorized Official Contact | 6099537199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Family Dentistry, Pc 76 N Main St Medford NJ 08055-2720 Ph: (609) 953-7199 | Main Street Family Dentistry, Pc 76 N Main St Medford NJ 08055-2720 Ph: (609) 953-7199 |
| NPI Number | 1336506849 |
|---|---|
| Provider Enumeration Date | 01/28/2016 |
| Last Update Date | 01/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336506849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16152 (New Jersey) | Primary |
| 1223G0001X | Dentist - General Practice | 16511 (* (Not Available)) | Secondary |
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