# JERSEY DENTAL GROUP

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

## Provider details

- **NPI number:** 1821455502
- **Authorized official:** MR. MIR RASHID ALIKHAN (OFFICE MANAGER)
- **Authorized official phone:** (609) 835-4043

## Contact information

- **Practice address:** 1900 MOUNT HOLLY RD, SUITE 2C, BURLINGTON, NJ 08016-4722
- **Practice address phone:** (609) 835-4043
- **Practice address fax:** (609) 835-1576
- **Mailing address:** 1900 MOUNT HOLLY RD, SUITE 2C, BURLINGTON, NJ 08016-4722
- **Mailing address phone:** (609) 835-4043
- **Mailing address fax:** (609) 835-1576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI01354000 | NJ | Yes |
| 122300000X | Dentist | 22DI02383100 | NJ | — |
| 122300000X | Dentist | 22DI02624000 | NJ | — |

## Other

- **Enumeration date:** 01/26/2016
- **Last updated:** 01/26/2016
