| Modern Dental | |
|
19 Phelps Ave Tenafly NJ 07670-2819 | |
| (201) 377-7374 | |
| (201) 777-4148 |
| Full Name | Modern Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19 Phelps Ave, Tenafly, New Jersey |
| Authorized Official Name and Position | Jacob Shrayman (OWNER) |
| Authorized Official Contact | 9732393555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Dental 19 Phelps Ave Tenafly NJ 07670-2819 Ph: (201) 377-7374 | Modern Dental 19 Phelps Ave Tenafly NJ 07670-2819 Ph: (201) 377-7374 |
| NPI Number | 1023745502 |
|---|---|
| Provider Enumeration Date | 08/04/2022 |
| Last Update Date | 09/10/2026 |
| Certification Date | 09/10/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023745502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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