| South Jersey Oral & Maxillofacial Surgeons, Llc | |
|
135 Jackson Rd Suite A Medford NJ 08055-9231 | |
| (609) 654-1300 | |
| (609) 654-0040 |
| Full Name | South Jersey Oral & Maxillofacial Surgeons, Llc |
|---|---|
| Speciality | Dentist |
| Location | 135 Jackson Rd, Medford, New Jersey |
| Authorized Official Name and Position | Amerigo Fedeli (DOCTOR) |
| Authorized Official Contact | 6096541300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Jersey Oral & Maxillofacial Surgeons, Llc 135 Jackson Rd Suite A Medford NJ 08055-9231 Ph: (609) 654-1300 | South Jersey Oral & Maxillofacial Surgeons, Llc 135 Jackson Rd Suite A Medford NJ 08055-9231 Ph: (609) 654-1300 |
| NPI Number | 1447272562 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 06/30/2008 |
| Medicare PECOS PAC ID | 9335194802 |
|---|---|
| Medicare Enrollment ID | O20050317000302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447272562 | NPI | - | NPPES |
| 7945108 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 1223X0008X | Dentist - Oral And Maxillofacial Radiology | (* (Not Available)) | Secondary |
| Provider Name | Amerigo Dmd Fedeli |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1922027820 PECOS PAC ID: 4587687090 Enrollment ID: I20120705000284 |
| Provider Name | Chad Brownsberger |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1487036984 PECOS PAC ID: 8921305202 Enrollment ID: I20240312002317 |
All Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Taunton Rd, Medford, NJ 08055 Phone: 609-654-7888 Fax: 609-654-2827 | |
Kenneth A. Yorgey Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Jackson Rd, Medford, NJ 08055 Phone: 609-654-0029 Fax: 609-714-0159 | |
A-ok Children's Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Stokes Rd, Suite B 18, Medford, NJ 08055 Phone: 609-654-1141 | |
Franck Euksuzian, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Jackson Rd Ste E, Medford, NJ 08055 Phone: 609-953-4300 | |
Medford Periodontal Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Jackson Rd, Suite A-5, Medford, NJ 08055 Phone: 609-953-3700 | |
Medford Family And Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 353 Route 70, Medford, NJ 08055 Phone: 609-654-2520 Fax: 609-654-5886 | |
Suburban Family Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Stokes Rd, Building B-18, Medford, NJ 08055 Phone: 609-953-7400 Fax: 609-953-4032 |