# PITMAN DENTAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pitman Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013562438
- **Authorized official:** HUNG LUONG DDS (OWNER/DENTIST)
- **Authorized official phone:** (267) 357-7119

## Contact information

- **Practice address:** 107 W JERSEY AVE, PITMAN, NJ 08071-1129
- **Practice address phone:** (856) 589-3592
- **Practice address fax:** (856) 589-1006
- **Mailing address:** 1960 CARDINAL LAKE DR, CHERRY HILL, NJ 08003-2904
- **Mailing address phone:** (267) 357-7119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 08/02/2019
- **Last updated:** 05/13/2021