| Dental Choice, Pc | |
|
875 Rte 73 North Suite H Marlton NJ 08053 | |
| (856) 983-9300 | |
| (856) 983-9003 |
| Full Name | Dental Choice, Pc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 875 Rte 73 North, Marlton, New Jersey |
| Authorized Official Name and Position | Melba Patricia Bonelli (PRESIDENT) |
| Authorized Official Contact | 8569839300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Choice, Pc 875 Rte 73 North Suite H Marlton NJ 08053 Ph: (856) 983-9300 | Dental Choice, Pc 875 Rte 73 North Suite H Marlton NJ 08053 Ph: (856) 983-9300 |
| NPI Number | 1013452929 |
|---|---|
| Provider Enumeration Date | 12/31/2016 |
| Last Update Date | 04/27/2023 |
| Medicare PECOS PAC ID | 1951686823 |
|---|---|
| Medicare Enrollment ID | O20170316001757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013452929 | NPI | - | NPPES |
| 8427101 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI01927200 (New Jersey) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
| Provider Name | Melba Bonelli |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134138696 PECOS PAC ID: 2062512080 Enrollment ID: I20170316001828 |
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