| Independence Dental Associates, Llc | |
|
23 Crossroads Center South Highway 517 Hackettstown NJ 07840 | |
| (908) 852-2215 | |
| Not Available |
| Full Name | Independence Dental Associates, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 23 Crossroads Center South, Hackettstown, New Jersey |
| Authorized Official Name and Position | Richard James Cleave (DENTIST/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 23 Crossroads Center South Highway 517 Hackettstown NJ 07840 Ph: (908) 852-2215 | Independence Dental Associates, Llc 23 Crossroads Center South Highway 517 Hackettstown NJ 07840 Ph: (908) 852-2215 |
| NPI Number | 1932347598 |
|---|---|
| Provider Enumeration Date | 02/04/2009 |
| Last Update Date | 02/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932347598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI013718 (New Jersey) | Primary |
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