| Klddmd1pc | |
| 
					1908 Kings Hwy Swedesboro NJ 08085-1638  | |
| (856) 467-1900 | |
| (856) 467-8435 | 
| Full Name | Klddmd1pc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 1908 Kings Hwy, Swedesboro, New Jersey | 
| Authorized Official Name and Position | Suzanne Debra Baals (MANAGER) | 
| Authorized Official Contact | 8564671900 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Klddmd1pc Po Box 128 Swedesboro NJ 08085-0128 Ph: (856) 467-1900  | Klddmd1pc 1908 Kings Hwy Swedesboro NJ 08085-1638 Ph: (856) 467-1900  | 
| NPI Number | 1982389359 | 
|---|---|
| Provider Enumeration Date | 06/21/2023 | 
| Last Update Date | 06/21/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1982389359 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
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  | |
Holdbrook Pediatric Dental, Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 553 Beckett Rd, Suite 604, Swedesboro, NJ 08085 Phone: 856-556-4020 Fax: 856-241-1251  |