| Jersey Smile Dental, Llc | |
|
407 Main St Spotswood NJ 08884-1739 | |
| (732) 387-2360 | |
| (732) 387-2561 |
| Full Name | Jersey Smile Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 407 Main St, Spotswood, New Jersey |
| Authorized Official Name and Position | Svetlana Konstantinova (CO-OWNER/DENTIST) |
| Authorized Official Contact | 7323872360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Smile Dental, Llc 407 Main St Spotswood NJ 08884-1739 Ph: (732) 387-2360 | Jersey Smile Dental, Llc 407 Main St Spotswood NJ 08884-1739 Ph: (732) 387-2360 |
| NPI Number | 1982014114 |
|---|---|
| Provider Enumeration Date | 04/28/2014 |
| Last Update Date | 04/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982014114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22DI02322000 (New Jersey) | Primary |
Sira Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 456 Main St, Spotswood, NJ 08884 Phone: 732-334-8102 | |
Central Jersey Caring Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 418 Main St, Spotswood, NJ 08884 Phone: 732-723-5100 |