Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
TH DENTAL INC.
Active
Organization
TH DENTAL INC.
Active
Other names
PrimeCare Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TAEHYUNG MOON DDS (PRESIDENT)
(973) 955-4928
Entity
Organization
Contact information
Practice address
4 HUNTER ST, SUITE 2B, LODI, NJ 07644-1608
(201) 403-8230
Mailing address
4 HUNTER ST, SUITE 2B, LODI, NJ 07644-1608
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02569100
NJ
Other
Enumeration date
04/07/2016
Last updated
11/17/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up