Signature Smiles | |
120 S 6th St Vineland NJ 08360-4605 | |
(856) 692-5533 | |
(856) 692-4990 |
Full Name | Signature Smiles |
---|---|
Speciality | Clinic/center - Dental |
Location | 120 S 6th St, Vineland, New Jersey |
Authorized Official Name and Position | Scott Bruggeworth (OWNER) |
Authorized Official Contact | 8566925533 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Signature Smiles Po Box 1298 120 S 6th St Vineland NJ 08360 Ph: (856) 692-5533 | Signature Smiles 120 S 6th St Vineland NJ 08360-4605 Ph: (856) 692-5533 |
NPI Number | 1407833676 |
---|---|
Provider Enumeration Date | 12/28/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407833676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D1019933 (New Jersey) | Primary |
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