| Old Bridge Dental Practice Llc | |
|
125 County Rd 516 Old Bridge NJ 08857-1421 | |
| (732) 967-2214 | |
| Not Available |
| Full Name | Old Bridge Dental Practice Llc |
|---|---|
| Speciality | Dentist |
| Location | 125 County Rd 516, Old Bridge, New Jersey |
| Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 7274242990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Bridge Dental Practice Llc 125 County Rd 516 Old Bridge NJ 08857-1421 Ph: (732) 967-2214 | Old Bridge Dental Practice Llc 125 County Rd 516 Old Bridge NJ 08857-1421 Ph: (732) 967-2214 |
| NPI Number | 1164154449 |
|---|---|
| Provider Enumeration Date | 06/27/2022 |
| Last Update Date | 06/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164154449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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