| Matawan/old Bridge Dental, Pa | |
|
349h Matawan Rd Matawan NJ 07747-3929 | |
| (732) 566-3111 | |
| (732) 566-6308 |
| Full Name | Matawan/old Bridge Dental, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 349h Matawan Rd, Matawan, New Jersey |
| Authorized Official Name and Position | Dennis Michael Keller (OWNER) |
| Authorized Official Contact | 7325663111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matawan/old Bridge Dental, Pa 349h Matawan Rd Matawan NJ 07747-3929 Ph: (732) 566-3111 | Matawan/old Bridge Dental, Pa 349h Matawan Rd Matawan NJ 07747-3929 Ph: (732) 566-3111 |
| NPI Number | 1295920098 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 09/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295920098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 09859 (New Jersey) | Primary |
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Gss - Matawan Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Main St, Matawan, NJ 07747 Phone: 732-984-4110 | |
Vr Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 Highway 34 Ste A, Matawan, NJ 07747 Phone: 732-583-8009 Fax: 732-583-6969 | |
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