| Strong Roots Dental Pc | |
|
273 Newark Avenue Jersey Cith NJ 07302 | |
| (551) 200-6002 | |
| (201) 984-0607 |
| Full Name | Strong Roots Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 273 Newark Avenue, Jersey Cith, New Jersey |
| Authorized Official Name and Position | Jahayra Juarez (OFFICE MANAGER) |
| Authorized Official Contact | 5512006002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Strong Roots Dental Pc 273 Newark Avenue Jersey Cith NJ 07302 Ph: (551) 200-6002 | Strong Roots Dental Pc 273 Newark Avenue Jersey Cith NJ 07302 Ph: (551) 200-6002 |
| NPI Number | 1598037996 |
|---|---|
| Provider Enumeration Date | 01/31/2012 |
| Last Update Date | 02/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598037996 | NPI | - | NPPES |
| 0257761 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02410701 (New Jersey) | Primary |
| 1223G0001X | Dentist - General Practice | 22DIO2449200 (New Jersey) | Secondary |