| Family Dental Group | |
|
484 Washington Ave Belleville NJ 07109-2688 | |
| (973) 759-1010 | |
| (973) 759-2411 |
| Full Name | Family Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 484 Washington Ave, Belleville, New Jersey |
| Authorized Official Name and Position | Jerrold Ted Jacob (PRESIDENT) |
| Authorized Official Contact | 9737591010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Group 484 Washington Ave Belleville NJ 07109-2688 Ph: (973) 759-1010 | Family Dental Group 484 Washington Ave Belleville NJ 07109-2688 Ph: (973) 759-1010 |
| NPI Number | 1699897009 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699897009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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