Organization
JOHN J. MADY DDS LLC
Active
Other names
Spring Valley Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JAY MADY DDS (OWNER)
(201) 819-7598
Entity
Organization
Contact information
Practice address
930 SPRING VALLEY RD, MAYWOOD, NJ 07607-1436
(201) 819-7598
Mailing address
930 SPRING VALLEY RD, MAYWOOD, NJ 07607-1436
(201) 819-7598
(201) 843-1818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DI02543700
DDS STATE LICENSE
NJ
Enumeration date
03/28/2019
Last updated
09/14/2022
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