| Novasack Family Dental Llc | |
|
560 Shore Rd Somers Point NJ 08244-2447 | |
| (609) 927-5454 | |
| (609) 927-6369 |
| Full Name | Novasack Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 560 Shore Rd, Somers Point, New Jersey |
| Authorized Official Name and Position | George Novasack (PRESIDENT) |
| Authorized Official Contact | 6099275454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novasack Family Dental Llc 560 Shore Rd Somers Point NJ 08244-2447 Ph: (609) 927-5454 | Novasack Family Dental Llc 560 Shore Rd Somers Point NJ 08244-2447 Ph: (609) 927-5454 |
| NPI Number | 1548636400 |
|---|---|
| Provider Enumeration Date | 08/14/2015 |
| Last Update Date | 08/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548636400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI00995300 (New Jersey) | Primary |
| 1223G0001X | Dentist - General Practice | 22DI02608500 (New Jersey) | Secondary |
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