| Staffordshire Dental Group Pa | |
|
1307 White Horse Rd Suite 500 Voorhees NJ 08043-2176 | |
| (856) 627-3400 | |
| (856) 627-3628 |
| Full Name | Staffordshire Dental Group Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1307 White Horse Rd, Voorhees, New Jersey |
| Authorized Official Name and Position | John Lawrence Lenahan (PRESIDENT) |
| Authorized Official Contact | 8566273400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Staffordshire Dental Group Pa 1307 White Horse Rd Suite 500 Voorhees NJ 08043-2176 Ph: (856) 627-3400 | Staffordshire Dental Group Pa 1307 White Horse Rd Suite 500 Voorhees NJ 08043-2176 Ph: (856) 627-3400 |
| NPI Number | 1255478343 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255478343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI13083 (New Jersey) | Primary |
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