Organization · Type 2 NPI
Family Dentistry of Keyport LLC
Dental Clinic/Center · Keyport, NJ
NPI number
1043714868
Active
Practice location
45 Maple Pl
Keyport, NJ 07735-1358
Mailing address
90 Brooklawn Ave
Bridgeport, CT 06604-2010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1043714868
Family Dentistry of Keyport LLC's National Provider Identifier is 1043714868, issued on Mar 19, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Keyport, NJ. The record was last updated on Mar 19, 2018.