Woodbine Dental Pa is a Dentist in Woodbine, New Jersey. Woodbine Dental Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Woodbine Dental Pa is 1700919594. The last update date is 2020-08-22.
Woodbine Dental Pa's current location address is 901 Dehirsch Avenue, Woodbine, New Jersey. You can contact this provider via phone number 6098612784 and fax number 6098613160. The mailing address for Woodbine Dental Pa is 901 Dehirsch Avenue, Woodbine, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Woodbine Dental Pa |
|---|---|
| Address | 901 Dehirsch Avenue, Woodbine, New Jersey |
| Phone Number | 6098612784 |
| Fax Number | 6098613160 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST PR |
|---|---|
| Authorized Official Name | Nathan Jacques |
| Credentials | DDS |
| Telephone Number | 6098612784 |
NPI Number Detail
| NPI Number | 1700919594 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 901 Dehirsch Avenue |
|---|---|
| City | Woodbine |
| State | New Jersey (NJ) |
| Post Code | 8270 |
| Phone Number | 6098612784 |
| Fax Number | 6098613160 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 22DI00879400 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2743906 | NJ | -- |
Post Comment/ Review Below
What is the Woodbine Dental Pa's 1700919594?
The Woodbine Dental Pa's NPI (National Provider Identifier) Number is 1700919594. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Woodbine Dental Pa located?
The Woodbine Dental Pa is located at 901 Dehirsch Avenue, Woodbine, NJ 8270.
What is Woodbine Dental Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Woodbine Dental Pa is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700919594 to Woodbine Dental Pa?
The Centers for Medicare & Medicaid Services assigned the 1700919594 to Woodbine Dental Pa on 2007-03-13.
When was the information regarding Woodbine Dental Pa most recently updated?
The details pertaining to the Woodbine Dental Pa, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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