Organization
NORTHFIELD FAMILY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L JAGGER DDS (DENTIST OWNER)
(609) 646-9100
Entity
Organization
Contact information
Practice address
1423 TILTON RD, STE 2, NORTHFIELD, NJ 08225
(609) 646-9100
(609) 646-3016
Mailing address
1423 TILTON RD, SUITE 2, NORTHFIELD, NJ 08225
(609) 646-9100
(609) 646-3016
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01139300
NJ
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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