| Roebling Dental Studio | |
|
501 Delaware Ave Ste 3 Roebling NJ 08554-1904 | |
| (609) 499-5800 | |
| Not Available |
| Full Name | Roebling Dental Studio |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 501 Delaware Ave Ste 3, Roebling, New Jersey |
| Authorized Official Name and Position | Dara Nikoonezhad (OWNER) |
| Authorized Official Contact | 6094993800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roebling Dental Studio 501 Delaware Ave Ste 3 Roebling NJ 08554-1904 Ph: (609) 499-5800 | Roebling Dental Studio 501 Delaware Ave Ste 3 Roebling NJ 08554-1904 Ph: (609) 499-5800 |
| NPI Number | 1831980531 |
|---|---|
| Provider Enumeration Date | 05/14/2025 |
| Last Update Date | 05/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831980531 | NPI | - | NPPES |
| 0638196 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |