| Independence Dental Associates, Llc | |
|
915 Route 517 Hackettstown NJ 07840-4661 | |
| (908) 852-2215 | |
| (908) 852-0831 |
| Full Name | Independence Dental Associates, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 915 Route 517, Hackettstown, New Jersey |
| Authorized Official Name and Position | Richard J Cleave (OWNER) |
| Authorized Official Contact | 9088522215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independence Dental Associates, Llc 915 Route 517 Hackettstown NJ 07840-4661 Ph: (908) 852-2215 | Independence Dental Associates, Llc 915 Route 517 Hackettstown NJ 07840-4661 Ph: (908) 852-2215 |
| NPI Number | 1699053355 |
|---|---|
| Provider Enumeration Date | 07/29/2011 |
| Last Update Date | 08/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699053355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22DI01371800 (New Jersey) | Primary |
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