| Cumberland Periodontal Associates, P.a. | |
|
1077 E. Chestnut Ave. Vineland NJ 08360 | |
| (856) 696-3990 | |
| (856) 696-2121 |
| Full Name | Cumberland Periodontal Associates, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 1077 E. Chestnut Ave., Vineland, New Jersey |
| Authorized Official Name and Position | Marc David Stein (OWNER) |
| Authorized Official Contact | 8566963990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cumberland Periodontal Associates, P.a. 1077 E. Chestnut Ave. Vineland NJ 08360 Ph: (856) 696-3990 | Cumberland Periodontal Associates, P.a. 1077 E. Chestnut Ave. Vineland NJ 08360 Ph: (856) 696-3990 |
| NPI Number | 1518115377 |
|---|---|
| Provider Enumeration Date | 09/05/2008 |
| Last Update Date | 09/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518115377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | NJ11102 (New Jersey) | Primary |
| 1223P0300X | Dentist - Periodontics | 2068 (New Jersey) | Secondary |
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