Main Street Family Dentistry, PC
Dentist, General Practice in Medford, New Jersey
1336506849- Practice location
- 76 N Main St, Medford, NJ 08055-2720
- Phone
- 609-953-7199
- Fax
- —
- Last updated
- January 28, 2016
Main Street Family Dentistry, PC is a healthcare organization based in Medford, NJ. Main Street Family Dentistry, PC practices in Medford, NJ. The NPI Number for Main Street Family Dentistry, PC is 1336506849 and holds a License No. 16511. The current practice location address for Main Street Family Dentistry, PC is 76 N Main St, Medford, NJ 08055-2720 and can be reached out via phone at 609-953-7199.
Provider Profile Details
- NPI Number
- 1336506849
- Provider Name
- Main Street Family Dentistry, PC
- Provider Entity Type
- Organization
- Address
- 76 N Main St, Medford, NJ 08055-2720
- Phone Number
- 609-953-7199
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Kenneth S Hoover, DMD · Owner · 609-953-7199
- Provider Enumeration Date
- January 28, 2016
- Last Update Date
- January 28, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 76 N Main St
Medford, NJ 08055-2720 - City
- Medford
- State
- New Jersey
- Zip
- 08055-2720
- Phone Number
- 609-953-7199
Provider Business Mailing Address Details
- Address
- 76 N Main St
Medford, NJ 08055-2720 - City
- Medford
- State
- NJ
- Zip
- 08055-2720
- Phone Number
- 609-953-7199
License Information
- License Number (1)
- 16511
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 16152
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Medford, NJ
View all Dentist, General Practice providers in Medford →- Alfonse J Deluca, DMDDentist, General Practice · NPI 1619019155
- Andrew P Stone, DDSDentist, General Practice · NPI 1174672224
- Carl J Hajduk, DDSDentist, General Practice · NPI 1174664635
- Chet N Rome, DMDDentist, General Practice · NPI 1053452557
- David F Eckel, DMDDentist, General Practice · NPI 1851440929
- Donald C Gibson, DMDDentist, General Practice · NPI 1275710592
Frequently Asked Questions
What is the NPI number of Main Street Family Dentistry, PC?
The NPI number of Main Street Family Dentistry, PC is 1336506849. It was assigned on January 28, 2016 and is currently active in the NPPES registry.
What is the specialty of Main Street Family Dentistry, PC?
Main Street Family Dentistry, PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed under license number 16511.
Where does Main Street Family Dentistry, PC practice?
The practice location is 76 N Main St, Medford, NJ 08055-2720. The office can be reached at 609-953-7199 (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 1336506849 directly on the NPPES registry website.