Dr. Michael W Etter, DDS
Dentist in Medford, New Jersey
1659586196- Practice location
- 239 Taunton Blvd Ste C, Medford, NJ 08055-3471
- Phone
- 856-985-4646
- Fax
- 856-985-7483
- Last updated
- July 8, 2007
Michael W. Etter is a Dentist based in Medford, NJ. Michael W. Etter practices in Medford, NJ and has the professional credentials of DDS. The NPI Number for Michael W. Etter is 1659586196 and holds a License No. 22DI01373600 (NJ). The current practice location address for Michael W. Etter is 239 Taunton Blvd Ste C, Medford, NJ 08055-3471 and can be reached out via phone at 856-985-4646 and via fax at 856-985-7483.
Provider Profile Details
- NPI Number
- 1659586196
- Provider Name
- Michael W. Etter
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 239 Taunton Blvd Ste C, Medford, NJ 08055-3471
- Phone Number
- 856-985-4646
- Fax Number
- 856-985-7483
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 10, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 239 Taunton Blvd Ste C
Medford, NJ 08055-3471 - City
- Medford
- State
- New Jersey
- Zip
- 08055-3471
- Phone Number
- 856-985-4646
- Fax Number
- 856-985-7483
Provider Business Mailing Address Details
- Address
- 239 Taunton Blvd Ste C
Medford, NJ 08055-3471 - City
- Medford
- State
- NJ
- Zip
- 08055-3471
- Phone Number
- 856-985-4646
- Fax Number
- 856-985-7483
License Information
- License Number
- 22DI01373600
- 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. Michael W Etter, DDS?
The NPI number of Dr. Michael W Etter, DDS is 1659586196. It was assigned on May 10, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael W Etter, DDS?
Dr. Michael W Etter, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI01373600.
Where does Dr. Michael W Etter, DDS practice?
The practice location is 239 Taunton Blvd Ste C, Medford, NJ 08055-3471. The office can be reached at 856-985-4646 (phone) or 856-985-7483 (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 1659586196 directly on the NPPES registry website.