| Advanced Digital Dentist LLC | |
|
79 W High St Somerville NJ 08876-2114 | |
| (908) 725-7640 | |
| Not Available |
| Full Name | Advanced Digital Dentist LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 79 W High St, Somerville, New Jersey |
| Authorized Official Name and Position | Lizabeth Sloane (SOLE MEMBER) |
| Authorized Official Contact | 9087257640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Digital Dentist LLC 79 W High St Somerville NJ 08876-2114 Ph: (908) 725-7640 | Advanced Digital Dentist LLC 79 W High St Somerville NJ 08876-2114 Ph: (908) 725-7640 |
| NPI Number | 1487196481 |
|---|---|
| Provider Enumeration Date | 11/08/2016 |
| Last Update Date | 11/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487196481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22DI01407600 (New Jersey) | Primary |
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