Organization · Type 2 NPI

Independence Dental Associates, LLC

Dental Clinic/Center · Hackettstown, NJ

NPI number 1699053355 Active

Practice location

915 Route 517
Hackettstown, NJ 07840-4661

Fax (908) 852-0831

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X22DI01371800 (NJ)

Dental Clinic/Center: Definition to come...

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About NPI 1699053355

Independence Dental Associates, LLC's National Provider Identifier is 1699053355, issued on Jul 29, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Hackettstown, NJ. The record was last updated on Aug 18, 2011.