| Holdbrook Pediatric Dental, Llc | |
|
553 Beckett Rd Suite 604 Swedesboro NJ 08085-1565 | |
| (856) 556-4020 | |
| (856) 241-1251 |
| Full Name | Holdbrook Pediatric Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 553 Beckett Rd, Swedesboro, New Jersey |
| Authorized Official Name and Position | Wendell Holdbrook (OWNER) |
| Authorized Official Contact | 8567830444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holdbrook Pediatric Dental, Llc 250 Haddonfield Berlin Rd Suite 101 Gibbsboro NJ 08026-1228 Ph: (856) 783-0444 | Holdbrook Pediatric Dental, Llc 553 Beckett Rd Suite 604 Swedesboro NJ 08085-1565 Ph: (856) 556-4020 |
| NPI Number | 1679811129 |
|---|---|
| Provider Enumeration Date | 01/17/2013 |
| Last Update Date | 01/17/2013 |
| Medicare PECOS PAC ID | 7113154048 |
|---|---|
| Medicare Enrollment ID | O20131220000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679811129 | NPI | - | NPPES |
| 0212768 | Medicaid | NJ |
| Provider Name | Wendell Holdbrook |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134109069 PECOS PAC ID: 1658508585 Enrollment ID: I20131220000619 |
Team Dental Swedesboro, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Lexington Rd Ste 220, Swedesboro, NJ 08085 Phone: 856-467-4677 Fax: 856-832-4173 | |
Gd Nj Swedesboro Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1507 Kings Hwy, Swedesboro, NJ 08085 Phone: 856-467-1100 | |
Klddmd1pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1908 Kings Hwy, Swedesboro, NJ 08085 Phone: 856-467-1900 Fax: 856-467-8435 |