| Medford Family Dental Care Pa | |
|
308 Tuckerton Rd Medford NJ 08055 | |
| (609) 654-2454 | |
| (609) 654-6568 |
| Full Name | Medford Family Dental Care Pa |
|---|---|
| Speciality | Dentist |
| Location | 308 Tuckerton Rd, Medford, New Jersey |
| Authorized Official Name and Position | John Kupcha (OWNER) |
| Authorized Official Contact | 6096542454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medford Family Dental Care Pa 308 Tuckerton Rd Medford NJ 08055 Ph: (609) 654-2454 | Medford Family Dental Care Pa 308 Tuckerton Rd Medford NJ 08055 Ph: (609) 654-2454 |
| NPI Number | 1528076320 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528076320 | NPI | - | NPPES |
| 2885204 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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