# AFFORDABLE DENTURES AUDUBON MICHELLE SPERRY DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154571099
- **Authorized official:** MICHELLE SPERRY DDS (PRACTICE OWNER)
- **Authorized official phone:** (856) 742-1440

## Contact information

- **Practice address:** 800 BLACK HORSE PIKE, W COLLINGSWOOD HEIGHTS, NJ 08059
- **Practice address phone:** (856) 742-1440
- **Practice address fax:** (856) 742-1601
- **Mailing address:** 800 BLACK HORSE PIKE, W COLLINGSWOOD HEIGHTS, NJ 08059
- **Mailing address phone:** (856) 742-1440
- **Mailing address fax:** (856) 742-1601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22D102244000 | NJ | Yes |

## Other

- **Enumeration date:** 09/29/2008
- **Last updated:** 09/29/2008