| Rutgers School Of Dental Medicine | |
|
13 Somerdale Sq Somerdale NJ 08083-1345 | |
| (856) 566-6969 | |
| (856) 566-6012 |
| Full Name | Rutgers School Of Dental Medicine |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13 Somerdale Sq, Somerdale, New Jersey |
| Authorized Official Name and Position | Keith Richmond (DENTAL DIRECTOR) |
| Authorized Official Contact | 8565666969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rutgers School Of Dental Medicine 110 Bergen St Rsdm Room D-954 Newark NJ 07103-2495 Ph: () - | Rutgers School Of Dental Medicine 13 Somerdale Sq Somerdale NJ 08083-1345 Ph: (856) 566-6969 |
| NPI Number | 1831302504 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 05/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831302504 | NPI | - | NPPES |
| 0018341 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Somerdale Family Dental Associates Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 N White Horse Pike, Somerdale, NJ 08083 Phone: 856-783-3499 Fax: 856-783-9582 | |
Dag Somerdale, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 N White Horse Pike, Somerdale, NJ 08083 Phone: 856-783-3499 Fax: 856-783-9582 | |
Sullivan Turner Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 736 W Somerdale Rd, Somerdale, NJ 08083 Phone: 856-787-3440 Fax: 856-627-8225 |