Organization
JACOB M BAGLEY
Active
Other names
Bagley Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB M BAGLEY DDS (DENTIST / OWNER)
(856) 358-2626
Entity
Organization
Contact information
Practice address
508 FRONT ST, ELMER, NJ 08318-2178
(856) 358-2626
Mailing address
508 FRONT ST, ELMER, NJ 08318-2178
(856) 358-2626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/26/2012
Last updated
08/23/2019
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