Active NPIOrganization

Heritage Dental LLC

Clinic/Center, Dental in Galloway, New Jersey

NPI Number1275208902
Practice location
5 E Jimmie Leeds RD, Galloway, NJ 08205-9705
Fax
—
Last updated
August 13, 2021

Heritage Dental LLC is a healthcare organization based in Galloway, NJ. Heritage Dental LLC practices in Galloway, NJ. The NPI Number for Heritage Dental LLC is 1275208902. The current practice location address for Heritage Dental LLC is 5 E Jimmie Leeds RD, Galloway, NJ 08205-9705 and can be reached out via phone at 609-646-3890.

Provider Profile Details

NPI Number
1275208902
Provider Name
Heritage Dental LLC
Provider Entity Type
Organization
Address
5 E Jimmie Leeds RD, Galloway, NJ 08205-9705
Phone Number
609-646-3890
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Mrs. Elena Dr. Gut · Practice Manager · 609-646-3890
Provider Enumeration Date
August 13, 2021
Last Update Date
August 13, 2021
Certification Date
August 13, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 E Jimmie Leeds RD
Galloway, NJ 08205-9705
Zip
08205-9705
Phone Number
609-646-3890
Galloway, NJ 08205Get directions →

Provider Business Mailing Address Details

Address
5 E Jimmie Leeds RD
Galloway, NJ 08205-9705
City
Galloway
State
NJ
Zip
08205-9705
Phone Number
609-646-3890

License Information

Taxonomy
Clinic/Center, Dental · 261QD0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Heritage Dental LLC?

The NPI number of Heritage Dental LLC is 1275208902. It was assigned on August 13, 2021 and is currently active in the NPPES registry.

What is the specialty of Heritage Dental LLC?

Heritage Dental LLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).

Where does Heritage Dental LLC practice?

The practice location is 5 E Jimmie Leeds RD, Galloway, NJ 08205-9705. The office can be reached at 609-646-3890 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275208902 directly on the NPPES registry website.

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