Dr Michael Kovall, DMD | |
1030 Saint Georges Ave, Avenel, NJ 07001-1390 | |
(732) 750-0707 | |
(732) 750-4240 |
Full Name | Dr Michael Kovall |
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Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1030 Saint Georges Ave, Avenel, 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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1194849091 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10967 (New Jersey) | Primary |
Entity Name | Eastern Dental Of Ewing, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861540965 PECOS PAC ID: 0345534764 Enrollment ID: O20160809000069 |
Mailing Address | Practice Location Address |
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Dr Michael Kovall, DMD 1030 Saint Georges Ave, Avenel, NJ 07001-1390 Ph: () - | Dr Michael Kovall, DMD 1030 Saint Georges Ave, Avenel, NJ 07001-1390 Ph: (732) 750-0707 |
Dr. Gary Deguzman, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 1030 Saint Georges Ave, Avenel, NJ 07001 Phone: 732-750-0707 | |
Dr. Christopher M Stewart, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 1030 Saint Georges Ave, 304, Avenel, NJ 07001 Phone: 732-750-0707 Fax: 732-750-5781 | |
Dr. Jason Goldberg, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1030 Saint Georges Ave, Avenel, NJ 07001 Phone: 732-750-0707 | |
Dr. James Rodriguez, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 1030 Saint Georges Ave, Avenel, NJ 07001 Phone: 732-750-0707 | |
Dr. Sanjana Gulati, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1030 Saint Georges Ave, Avenel, NJ 07001 Phone: 732-750-0707 | |
Dr. Alla Podokshik, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1030 Saint Georges Ave, Avenel, NJ 07001 Phone: 732-750-0707 | |
Dr. Carlos Molina, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 1030 Saint Georges Ave, Avenel, NJ 07001 Phone: 732-750-0707 |