| Mobile Dental Practice, Pc | |
|
800 Wyckoff Ave Suite 103 Wyckoff NJ 07481-1525 | |
| (201) 891-4700 | |
| (201) 891-4943 |
| Full Name | Mobile Dental Practice, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 800 Wyckoff Ave, Wyckoff, New Jersey |
| Authorized Official Name and Position | Stephen A Beukas (PRESIDENT) |
| Authorized Official Contact | 2018914700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Dental Practice, Pc 800 Wyckoff Ave Suite 103 Wyckoff NJ 07481-1525 Ph: (201) 891-4700 | Mobile Dental Practice, Pc 800 Wyckoff Ave Suite 103 Wyckoff NJ 07481-1525 Ph: (201) 891-4700 |
| NPI Number | 1235311028 |
|---|---|
| Provider Enumeration Date | 12/03/2007 |
| Last Update Date | 12/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235311028 | NPI | - | NPPES |
| 0090911 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI018346 (New Jersey) | Primary |
Bergen Smile Confidence,p.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 541 Cedar Hill Ave, Wyckoff, NJ 07481 Phone: 201-444-2383 Fax: 201-444-6454 | |
Lawrence E. Weiner, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 374 Clinton Ave, Wyckoff, NJ 07481 Phone: 201-891-5424 | |
Phillips Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 Madison Ave, Wyckoff, NJ 07481 Phone: 201-891-5154 Fax: 201-891-4675 | |
Richard E Hall Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Godwin Ave, Wyckoff, NJ 07481 Phone: 201-891-8550 Fax: 201-891-6874 | |
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