Medford Family Dental Care Pa

LBN: Medford Family Dental Care Pa
Medford Family Dental Care Pa is an health care organization with primary practice located at 308 Tuckerton Rd , Medford NJ 08055. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Medford Family Dental Care Pa can be contacted via phone (609) 654-2454, or through Kupcha, John via phone (609) 654-2454.

Contact Information

Primary practice address
308 Tuckerton Rd Medford NJ 08055
Phone: (609) 654-2454
Fax: (609) 654-6568
Website:
Map and Directions
Authorized official contact:
Name: Kupcha, John Doctor of Dental Surgery (DDS)
Phone: (609) 654-2454

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1528076320
LBN Legal business name Medford Family Dental Care Pa
DBA Doing business as
Authorized official Kupcha, John Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528076320 NPPES
New Jersey MEDICAID 2885204

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