Progressive Dental Care, P.c. | |
111 S Orange Ave Suite 27 South Orange NJ 07079-1936 | |
(973) 763-2526 | |
Not Available |
Full Name | Progressive Dental Care, P.c. |
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Speciality | Dentist - General Practice |
Location | 111 S Orange Ave, South Orange, New Jersey |
Authorized Official Name and Position | Cynthia Denise Sutton (PRESIDENT) |
Authorized Official Contact | 9737632526 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Progressive Dental Care, P.c. 7 Mckinley Pl West Orange NJ 07052-5709 Ph: () - | Progressive Dental Care, P.c. 111 S Orange Ave Suite 27 South Orange NJ 07079-1936 Ph: (973) 763-2526 |
NPI Number | 1831231844 |
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Provider Enumeration Date | 02/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831231844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DIO18963 (New Jersey) | Primary |
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