| Academy Dental Group, Pa | |
|
4 Marvin St Dover NJ 07801-3735 | |
| (973) 328-0022 | |
| (973) 328-0988 |
| Full Name | Academy Dental Group, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4 Marvin St, Dover, New Jersey |
| Authorized Official Name and Position | Jason Lee (OWNER) |
| Authorized Official Contact | 9733280022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Academy Dental Group, Pa 4 Marvin St Dover NJ 07801-3735 Ph: (973) 328-0022 | Academy Dental Group, Pa 4 Marvin St Dover NJ 07801-3735 Ph: (973) 328-0022 |
| NPI Number | 1720655863 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 06/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720655863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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