Dr Gary Potok, DMD | |
101 2nd St, Lakewood, NJ 08701-3324 | |
(732) 363-6655 | |
Not Available |
Full Name | Dr Gary Potok |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 101 2nd St, Lakewood, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1265472930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 22DI01748600 (New Jersey) | Primary |
Entity Name | St Luke's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952581431 PECOS PAC ID: 0648189688 Enrollment ID: O20131212000089 |
Mailing Address | Practice Location Address |
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Dr Gary Potok, DMD 101 2nd St, Lakewood, NJ 08701-3324 Ph: (732) 363-6655 | Dr Gary Potok, DMD 101 2nd St, Lakewood, NJ 08701-3324 Ph: (732) 363-6655 |
Dr. Deborah E Brown, DMD Dentist Medicare: Medicare Enrolled Practice Location: 101 2nd St, Lakewood, NJ 08701 Phone: 732-363-6655 | |
Dr. David Plaut Iii, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 321 2nd St, Lakewood, NJ 08701 Phone: 732-901-4404 Fax: 732-364-1555 | |
Matthew Brown, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 1771 Madison Ave, Lakewood, NJ 08701 Phone: 732-364-2144 Fax: 732-364-3559 | |
Michael Neiman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 301 Madison Ave, Lakewood, NJ 08701 Phone: 732-363-0177 | |
Brett Wohlstetter, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1328 Route 9, Lakewood, NJ 08701 Phone: 732-363-5558 Fax: 732-363-5512 | |
Dr. Zaki Mustacchi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1000 Route 70 Ste 8, Lakewood, NJ 08701 Phone: 848-245-0779 Fax: 848-245-0780 | |
Gary M Wheeler, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 525 Highway 70, Suite A-7, Lakewood, NJ 08701 Phone: 732-367-5900 Fax: 732-367-0502 |