| Prime Dental | |
|
1036 Amboy Ave Edison NJ 08837-2806 | |
| (732) 225-2300 | |
| (732) 225-6336 |
| Full Name | Prime Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1036 Amboy Ave, Edison, New Jersey |
| Authorized Official Name and Position | Darshna Mody (PRESIDENT) |
| Authorized Official Contact | 7322252300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Dental 1036 Amboy Ave Edison NJ 08837-2806 Ph: (732) 225-2300 | Prime Dental 1036 Amboy Ave Edison NJ 08837-2806 Ph: (732) 225-2300 |
| NPI Number | 1659414233 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659414233 | NPI | - | NPPES |
| 5386608 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI18045 (New Jersey) | Primary |
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