| Ocean Grove Family Dentistry | |
|
64 Main Ave Ocean Grove NJ 07756-1319 | |
| (732) 774-8700 | |
| (732) 774-8708 |
| Full Name | Ocean Grove Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 64 Main Ave, Ocean Grove, New Jersey |
| Authorized Official Name and Position | Dale C Whilden (SINGLE MEMBER/OWNER) |
| Authorized Official Contact | 7327748700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Grove Family Dentistry 64 Main Ave Ocean Grove NJ 07756-1319 Ph: (732) 774-8700 | Ocean Grove Family Dentistry 64 Main Ave Ocean Grove NJ 07756-1319 Ph: (732) 774-8700 |
| NPI Number | 1184898165 |
|---|---|
| Provider Enumeration Date | 04/21/2008 |
| Last Update Date | 02/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184898165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22DI01229500 (New Jersey) | Primary |
Ocean Grove Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 Main Ave, Ocean Grove, NJ 07756 Phone: 732-774-8700 |