| Smile Creations Pa | |
|
630 S Brewster Rd Suite A-2 Vineland NJ 08361-7801 | |
| (856) 692-0060 | |
| (856) 692-0382 |
| Full Name | Smile Creations Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 630 S Brewster Rd, Vineland, New Jersey |
| Authorized Official Name and Position | Nicholas Bencie (PRESIDENT OWNER) |
| Authorized Official Contact | 8566920060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Creations Pa 630 S Brewster Rd Suite A-2 Vineland NJ 08361-7801 Ph: (856) 692-0060 | Smile Creations Pa 630 S Brewster Rd Suite A-2 Vineland NJ 08361-7801 Ph: (856) 692-0060 |
| NPI Number | 1225059330 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 07/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225059330 | NPI | - | NPPES |
| 16492 | Other | NJ | DELTA DENTAL |
| 182501 | Other | PA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22D101649200 (New Jersey) | Primary |
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