Organization · Type 2 NPI
Merchant Street Dental LLC
Meals Provider · Audubon, NJ
NPI number
1801630249
Active
Practice location
124 W Merchant St
Audubon, NJ 08106-1424
Mailing address
124 W Merchant St Ste A
Audubon, NJ 08106-1424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Meals Provider Primary | 174200000X | None listed |
Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Another provider at this address
About NPI 1801630249
Merchant Street Dental LLC's National Provider Identifier is 1801630249, issued on Jun 20, 2024. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Audubon, NJ. The record was last updated on Jun 20, 2024.