# PRIME CARE DENTAL LLC

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

## Provider details

- **NPI number:** 1427758564
- **Authorized official:** DR. KEYUR MODI DMD (OWNER DENTIST)
- **Authorized official phone:** (201) 755-1525

## Contact information

- **Practice address:** 1 WASHINGTON BLVD STE 8, ROBBINSVILLE, NJ 08691-3162
- **Practice address phone:** (609) 490-1616
- **Mailing address:** 1 WASHINGTON BLVD STE 8, ROBBINSVILLE, NJ 08691-3162
- **Mailing address phone:** (609) 490-1616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2023
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 22DI02686700 | DENTIST | NJ |