Dr Wendell Holdbrook, DMD | |
250 Haddonfield Berlin Rd, Suite 101, Gibbsboro, NJ 08026-1228 | |
(856) 783-0444 | |
(856) 783-0445 |
Full Name | Dr Wendell Holdbrook |
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Gender | Male |
Speciality | Dentist - Pediatric Dentistry |
Location | 250 Haddonfield Berlin Rd, Gibbsboro, 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 |
---|---|---|---|
1134109069 | NPI | - | NPPES |
262231139 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 22D102298203 (New Jersey) | Primary |
Entity Name | Holdbrook Pediatric Dental Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679811129 PECOS PAC ID: 7113154048 Enrollment ID: O20131220000468 |
Mailing Address | Practice Location Address |
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Dr Wendell Holdbrook, DMD 250 Haddonfield Berlin Rd, Suite 101, Gibbsboro, NJ 08026-1228 Ph: (856) 783-0444 | Dr Wendell Holdbrook, DMD 250 Haddonfield Berlin Rd, Suite 101, Gibbsboro, NJ 08026-1228 Ph: (856) 783-0444 |
Dr. Mohamed Z Shariff, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 26 Yarmouth Way, Gibbsboro, NJ 08026 Phone: 856-449-9224 | |
Dr. Eric Joseph Forte, DMD Dentist Medicare: Medicare Enrolled Practice Location: 59 Lakeview Dr N, Gibbsboro, NJ 08026 Phone: 856-784-7900 Fax: 856-784-5904 | |
Dr. Jency Abraham, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 63 N Lakeview Dr, Gibbsboro, NJ 08026 Phone: 856-784-7900 | |
Dr. Ami Gupta, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 250 Haddonfield Berlin Rd, Gibbsboro, NJ 08026 Phone: 856-783-0444 | |
Dr. Amr Abdalla, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 63 N Lakeview Dr Ste 101, Gibbsboro, NJ 08026 Phone: 856-784-7900 | |
Dr. Gerard Corsi Jr., D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 250 Haddonfield Berlin Rd, Suite 101, Gibbsboro, NJ 08026 Phone: 856-783-0444 |