| Best Impressions Dental | |
|
321 Lacey Rd Forked River NJ 08731-2617 | |
| (609) 693-9166 | |
| Not Available |
| Full Name | Best Impressions Dental |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 321 Lacey Rd, Forked River, New Jersey |
| Authorized Official Name and Position | Katelyn Campbell (OWNER) |
| Authorized Official Contact | 9084338641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Best Impressions Dental 321 Lacey Rd Forked River NJ 08731-2617 Ph: (609) 693-9166 | Best Impressions Dental 321 Lacey Rd Forked River NJ 08731-2617 Ph: (609) 693-9166 |
| NPI Number | 1609497262 |
|---|---|
| Provider Enumeration Date | 05/05/2020 |
| Last Update Date | 12/02/2020 |
| Medicare PECOS PAC ID | 4486075090 |
|---|---|
| Medicare Enrollment ID | O20200608002326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609497262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
| Provider Name | Katelyn Campbell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1407256811 PECOS PAC ID: 2567883176 Enrollment ID: I20200608002481 |
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