- Practice location
- 308 Tuckerton Road, Medford, NJ 08055
- Phone
- 609-654-2454
- Fax
- 609-654-6568
- Last updated
- July 8, 2007
Samuel J Mutch is a Dentist based in Medford, NJ. Samuel J Mutch practices in Medford, NJ. The NPI Number for Samuel J Mutch is 1467501221 and holds a License No. 18508 (NJ). The current practice location address for Samuel J Mutch is 308 Tuckerton Road, Medford, NJ 08055 and can be reached out via phone at 609-654-2454 and via fax at 609-654-6568.
Provider Profile Details
- NPI Number
- 1467501221
- Provider Name
- Samuel J Mutch
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 308 Tuckerton Road, Medford, NJ 08055
- Phone Number
- 609-654-2454
- Fax Number
- 609-654-6568
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 10, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 308 Tuckerton Road
Medford, NJ 08055 - City
- Medford
- State
- New Jersey
- Zip
- 08055
- Phone Number
- 609-654-2454
- Fax Number
- 609-654-6568
Provider Business Mailing Address Details
- Address
- 308 Tuckerton Road
Medford, NJ 08055 - City
- Medford
- State
- NJ
- Zip
- 08055
- Phone Number
- 609-654-2454
- Fax Number
- 609-654-6568
License Information
- License Number
- 18508
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Medford, NJ
View all Dentists in Medford →Frequently Asked Questions
What is the NPI number of Dr. Samuel J Mutch?
The NPI number of Dr. Samuel J Mutch is 1467501221. It was assigned on January 10, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Samuel J Mutch?
Dr. Samuel J Mutch is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 18508.
Where does Dr. Samuel J Mutch practice?
The practice location is 308 Tuckerton Road, Medford, NJ 08055. The office can be reached at 609-654-2454 (phone) or 609-654-6568 (fax).
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 1467501221 directly on the NPPES registry website.