| Roxbury Pediatric Dentistry | |
|
168 Route 10 W Succasunna NJ 07876-1434 | |
| (973) 584-7555 | |
| Not Available |
| Full Name | Roxbury Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 168 Route 10 W, Succasunna, New Jersey |
| Authorized Official Name and Position | Kimberly Ann Maher (LICENSING COORDINATOR) |
| Authorized Official Contact | 9735989555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roxbury Pediatric Dentistry 168 Route 10 W Succasunna NJ 07876-1434 Ph: (973) 584-7555 | Roxbury Pediatric Dentistry 168 Route 10 W Succasunna NJ 07876-1434 Ph: (973) 584-7555 |
| NPI Number | 1629500715 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 03/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629500715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 22DI02441400 (New Jersey) | Primary |
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