| Premium Dental Specialties, Pc | |
|
176 Madison Ave Mount Holly NJ 08060-2000 | |
| (856) 235-4696 | |
| (856) 235-0017 |
| Full Name | Premium Dental Specialties, Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 176 Madison Ave, Mount Holly, New Jersey |
| Authorized Official Name and Position | Neal E. Appelstein (OWNER/ ENDODONTIST) |
| Authorized Official Contact | 8562354696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premium Dental Specialties, Pc 1221 N Church St Suite 201 Moorestown NJ 08057-1245 Ph: (856) 235-0020 | Premium Dental Specialties, Pc 176 Madison Ave Mount Holly NJ 08060-2000 Ph: (856) 235-4696 |
| NPI Number | 1861834749 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 07/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861834749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 22DI02143800 (New Jersey) | Primary |
| 1223P0300X | Dentist - Periodontics | 22DI02035800 (New Jersey) | Secondary |
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