| Charles D Lott Dmd | |
|
15 N Bridge St Somerville NJ 08876-2110 | |
| (908) 725-0400 | |
| (908) 725-1148 |
| Full Name | Charles D Lott Dmd |
|---|---|
| Speciality | Dentist |
| Location | 15 N Bridge St, Somerville, New Jersey |
| Authorized Official Name and Position | Charles D Lott (PRESIDENT) |
| Authorized Official Contact | 9087824418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles D Lott Dmd 820 Rte 202 N Neshanic Station NJ 08853 Ph: (908) 782-4418 | Charles D Lott Dmd 15 N Bridge St Somerville NJ 08876-2110 Ph: (908) 725-0400 |
| NPI Number | 1568526291 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568526291 | NPI | - | NPPES |
| 1904906 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22D1009270 01 (New Jersey) | Primary |
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