Trans-dental Associates Pc | |
511 River Dr Elmwood Park NJ 07407-1525 | |
(201) 796-0585 | |
Not Available |
Full Name | Trans-dental Associates Pc |
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Speciality | Dentist |
Location | 511 River Dr, Elmwood Park, New Jersey |
Authorized Official Name and Position | Michael Benjamin Heller (DIRECTOR) |
Authorized Official Contact | 2017960585 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Trans-dental Associates Pc 511 River Dr Elmwood Park NJ 07407-1525 Ph: (201) 796-0585 | Trans-dental Associates Pc 511 River Dr Elmwood Park NJ 07407-1525 Ph: (201) 796-0585 |
NPI Number | 1154580850 |
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Provider Enumeration Date | 06/06/2008 |
Last Update Date | 06/06/2008 |
Medicare PECOS PAC ID | 1759606452 |
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Medicare Enrollment ID | O20150220000144 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154580850 | NPI | - | NPPES |
6642101 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Provider Name | Aaron D Brisman |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1598914921 PECOS PAC ID: 7012232713 Enrollment ID: I20150220000557 |
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