| Beautiful Smiles Dentistry Inc. | |
|
166 Main St Ste 1b Lincoln Park NJ 07035-1791 | |
| (973) 628-1449 | |
| (973) 696-0037 |
| Full Name | Beautiful Smiles Dentistry Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 166 Main St Ste 1b, Lincoln Park, New Jersey |
| Authorized Official Name and Position | John A Taltavall (PRESIDENT) |
| Authorized Official Contact | 9736281449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beautiful Smiles Dentistry Inc. Po Box 457 166 Main Street Suite 1b Lincoln Park NJ 07035-0457 Ph: (973) 628-1449 | Beautiful Smiles Dentistry Inc. 166 Main St Ste 1b Lincoln Park NJ 07035-1791 Ph: (973) 628-1449 |
| NPI Number | 1285030569 |
|---|---|
| Provider Enumeration Date | 11/13/2014 |
| Last Update Date | 11/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285030569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI18340NJ (New Jersey) | Primary |
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