| Gss - Matawan Dental, Llc | |
| 
					125 Main St Matawan NJ 07747-2654  | |
| (732) 984-4110 | |
| Not Available | 
| Full Name | Gss - Matawan Dental, Llc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 125 Main St, Matawan, New Jersey | 
| Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) | 
| Authorized Official Contact | 6128590444 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Gss - Matawan Dental, Llc 125 Main St Matawan NJ 07747-2654 Ph: (732) 984-4110  | Gss - Matawan Dental, Llc 125 Main St Matawan NJ 07747-2654 Ph: (732) 984-4110  | 
| NPI Number | 1144015769 | 
|---|---|
| Provider Enumeration Date | 04/14/2025 | 
| Last Update Date | 04/14/2025 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144015769 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
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