| Michael J. Fitzpatrick, D.m.d., Llc | |
|
302 Creek Crossing Blvd Hainesport NJ 08036-2767 | |
| (609) 518-3232 | |
| (609) 518-7575 |
| Full Name | Michael J. Fitzpatrick, D.m.d., Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 302 Creek Crossing Blvd, Hainesport, New Jersey |
| Authorized Official Name and Position | Michael Joseph Fitzpatrick (SOLE PROPRIETOR) |
| Authorized Official Contact | 6095183232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Fitzpatrick, D.m.d., Llc 302 Creek Crossing Blvd Hainesport NJ 08036-2767 Ph: (609) 518-3232 | Michael J. Fitzpatrick, D.m.d., Llc 302 Creek Crossing Blvd Hainesport NJ 08036-2767 Ph: (609) 518-3232 |
| NPI Number | 1609916915 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609916915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI01769400 (New Jersey) | Primary |