| Northfield Family Dental Group | |
|
1423 Tilton Rd Ste 2 Northfield NJ 08225 | |
| (609) 646-9100 | |
| (609) 646-3016 |
| Full Name | Northfield Family Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1423 Tilton Rd, Northfield, New Jersey |
| Authorized Official Name and Position | Kenneth L Jagger (DENTIST OWNER) |
| Authorized Official Contact | 6096469100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northfield Family Dental Group 1423 Tilton Rd Suite 2 Northfield NJ 08225 Ph: (609) 646-9100 | Northfield Family Dental Group 1423 Tilton Rd Ste 2 Northfield NJ 08225 Ph: (609) 646-9100 |
| NPI Number | 1386845154 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386845154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI01139300 (New Jersey) | Primary |
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