| Garden State Orthodontics Pa | |
|
372 Morris Avenue Springfield NJ 07081 | |
| (973) 379-4471 | |
| (973) 379-4470 |
| Full Name | Garden State Orthodontics Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 372 Morris Avenue, Springfield, New Jersey |
| Authorized Official Name and Position | Christel A Hummert (ORTHODONTIST) |
| Authorized Official Contact | 9733794471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden State Orthodontics Pa 372 Morris Avenue Springfield NJ 07081 Ph: (973) 379-4471 | Garden State Orthodontics Pa 372 Morris Avenue Springfield NJ 07081 Ph: (973) 379-4471 |
| NPI Number | 1629113584 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629113584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 22DI02248000 (New Jersey) | Primary |
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