| University Dental Center At Galloway | |
|
4 E Jimmie Leeds Rd Suite 6 Galloway NJ 08205-4465 | |
| (609) 652-0501 | |
| (609) 652-1105 |
| Full Name | University Dental Center At Galloway |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4 E Jimmie Leeds Rd, Galloway, New Jersey |
| Authorized Official Name and Position | Nicholas Depinto (DENTAL DIRECTOR) |
| Authorized Official Contact | 6096520501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Dental Center At Galloway 110 Bergen St Rsdm Room D-954 Newark NJ 07103-2495 Ph: () - | University Dental Center At Galloway 4 E Jimmie Leeds Rd Suite 6 Galloway NJ 08205-4465 Ph: (609) 652-0501 |
| NPI Number | 1255544961 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 05/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255544961 | NPI | - | NPPES |
| 0027073 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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