| Somerset Dental Pc | |
|
1707 Rt 27 South Hempstead Plaza Somerset NJ 08873-3908 | |
| (732) 745-9898 | |
| (732) 745-9818 |
| Full Name | Somerset Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 1707 Rt 27 South, Somerset, New Jersey |
| Authorized Official Name and Position | Mita A Shah (DENTIST PRESIDENT) |
| Authorized Official Contact | 7327459898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Somerset Dental Pc 1707 Rt 27 South Hempstead Plaza Somerset NJ 08873-3908 Ph: (732) 745-9898 | Somerset Dental Pc 1707 Rt 27 South Hempstead Plaza Somerset NJ 08873-3908 Ph: (732) 745-9898 |
| NPI Number | 1912123290 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4082006531 |
|---|---|
| Medicare Enrollment ID | O20220113002056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912123290 | NPI | - | NPPES |
| 807614 | Other | UNITED CONCORDIA | |
| 9179730 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Mitaben A Shah |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316033665 PECOS PAC ID: 5092005462 Enrollment ID: I20220113002065 |
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