| Digitally Enhanced Dentistry | |
|
110 Hillside Blvd, Suite 5 Lakewood NJ 08701 | |
| (732) 333-3383 | |
| (815) 301-9612 |
| Full Name | Digitally Enhanced Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 110 Hillside Blvd, Suite 5, Lakewood, New Jersey |
| Authorized Official Name and Position | Jonathan S S Ungar (OWNER) |
| Authorized Official Contact | 7323333383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Digitally Enhanced Dentistry 110 Hillside Blvd, Suite 5 Lakewood NJ 08701 Ph: (732) 333-3383 | Digitally Enhanced Dentistry 110 Hillside Blvd, Suite 5 Lakewood NJ 08701 Ph: (732) 333-3383 |
| NPI Number | 1518099472 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518099472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (New Jersey) | Secondary |
| 122300000X | Dentist | (New Jersey) | Secondary |
| 1223G0001X | Dentist - General Practice | (New Jersey) | Primary |
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