| St. Joseph's Dental | |
|
21 Market St Paterson NJ 07501-1723 | |
| (973) 754-4250 | |
| (973) 754-4259 |
| Full Name | St. Joseph's Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21 Market St, Paterson, New Jersey |
| Authorized Official Name and Position | Dionne C. Pierce (OFFICE MANAGER) |
| Authorized Official Contact | 9737544250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Joseph's Dental 21 Market St Paterson NJ 07501-1723 Ph: (973) 754-4250 | St. Joseph's Dental 21 Market St Paterson NJ 07501-1723 Ph: (973) 754-4250 |
| NPI Number | 1871574731 |
|---|---|
| Provider Enumeration Date | 11/08/2005 |
| Last Update Date | 03/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871574731 | NPI | - | NPPES |
| 4136403 | Other | NJ | NJHCAP |
| 50057 | Medicaid | NJ | |
| 2117814 | Other | NJ | DELTA DENTAL |
| 0000604 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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