| Ted M Rosner Dmd, Pa | |
|
693 Main St Lumberton NJ 08048-5043 | |
| (609) 261-8200 | |
| (609) 261-8880 |
| Full Name | Ted M Rosner Dmd, Pa |
|---|---|
| Speciality | Dentist |
| Location | 693 Main St, Lumberton, New Jersey |
| Authorized Official Name and Position | Ted M Rosner (PRESIDENT) |
| Authorized Official Contact | 6092618200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ted M Rosner Dmd, Pa Po Box 98 Lumberton NJ 08048-0098 Ph: (609) 261-8200 | Ted M Rosner Dmd, Pa 693 Main St Lumberton NJ 08048-5043 Ph: (609) 261-8200 |
| NPI Number | 1295954865 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 03/18/2008 |
| Medicare PECOS PAC ID | 6204908767 |
|---|---|
| Medicare Enrollment ID | O20080630000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295954865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 22DI01292101 (New Jersey) | Primary |
| Provider Name | Ted M Rosner |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134168479 PECOS PAC ID: 0941372403 Enrollment ID: I20080630000021 |
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