| Collingswood Dental Assoc Pa | |
|
610 Collings Avenue West Collingswood NJ 08107-1724 | |
| (856) 854-5848 | |
| (856) 854-6578 |
| Full Name | Collingswood Dental Assoc Pa |
|---|---|
| Speciality | Dentist |
| Location | 610 Collings Avenue, West Collingswood, New Jersey |
| Authorized Official Name and Position | Roger H Sheinkin (PRESIDENT) |
| Authorized Official Contact | 8568545848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collingswood Dental Assoc Pa 610 Collings Avenue West Collingswood NJ 08107-1724 Ph: (856) 854-5848 | Collingswood Dental Assoc Pa 610 Collings Avenue West Collingswood NJ 08107-1724 Ph: (856) 854-5848 |
| NPI Number | 1922054360 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922054360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9087 (New Jersey) | Secondary |
| 122300000X | Dentist | 10507 (New Jersey) | Secondary |
| 122300000X | Dentist | 11150 (New Jersey) | Primary |