| Wyckoff-nester, Llp | |
|
200 E Mantua Ave Wenonah NJ 08090-1921 | |
| (856) 468-5858 | |
| (856) 468-9098 |
| Full Name | Wyckoff-nester, Llp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 E Mantua Ave, Wenonah, New Jersey |
| Authorized Official Name and Position | Carl K Wyckoff (PARTNER) |
| Authorized Official Contact | 8564685858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyckoff-nester, Llp 200 E Mantua Ave Po Box 37 Wenonah NJ 08090-1921 Ph: (856) 468-5858 | Wyckoff-nester, Llp 200 E Mantua Ave Wenonah NJ 08090-1921 Ph: (856) 468-5858 |
| NPI Number | 1306049259 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306049259 | NPI | - | NPPES |
| 1255365235 | Other | NJ | INDIVIDUAL |
| 1225096712 | Other | NJ | INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11728 (New Jersey) | Primary |
Woodbury Dental Associates Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Mantua Pike, Wenonah, NJ 08090 Phone: 856-848-6630 Fax: 856-848-7294 |