| Pitman Dental | |
|
107 W Jersey Ave Pitman NJ 08071-1129 | |
| (856) 589-3592 | |
| (856) 589-1006 |
| Full Name | Pitman Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 107 W Jersey Ave, Pitman, New Jersey |
| Authorized Official Name and Position | Hung Luong (OWNER/DENTIST) |
| Authorized Official Contact | 2673577119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pitman Dental 1960 Cardinal Lake Dr Cherry Hill NJ 08003-2904 Ph: (267) 357-7119 | Pitman Dental 107 W Jersey Ave Pitman NJ 08071-1129 Ph: (856) 589-3592 |
| NPI Number | 1013562438 |
|---|---|
| Provider Enumeration Date | 08/02/2019 |
| Last Update Date | 05/13/2021 |
| Certification Date | 05/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013562438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Secondary |
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
| 261QD0000X | Clinic/center - Dental | (NU) | Secondary |
Dental Associates at Pitman Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 N Broadway, Pitman, NJ 08071 Phone: 856-589-3803 Fax: 856-589-0371 |
Dentalarts Group Pitman Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Pitman Ave, Pitman, NJ 08071 Phone: 856-589-5737 Fax: 856-589-2670 |