# MEDFORD VILLAGE DENTAL CARE

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

## Provider details

- **NPI number:** 1770656969
- **Authorized official:** DR. WILLIAM H STILES DMD (SHAREHOLDER)
- **Authorized official phone:** (609) 654-0033

## Contact information

- **Practice address:** 25 N MAIN STREET, MEDFORD, NJ 08055
- **Practice address phone:** (609) 654-0033
- **Mailing address:** 25 N MAIN STREET, MEDFORD, NJ 08055
- **Mailing address phone:** (609) 654-0033
- **Mailing address fax:** (609) 953-8669

## Taxonomy

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

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 08/22/2020