Individual
JEFFREY BRUCE THORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
43 MAIN ST, LEBANON, NJ 08833
(908) 236-2223
(908) 236-7564
Mailing address
43 MAIN ST, LEBANON, NJ 08833
(908) 236-2223
(908) 236-7564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01526800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
863738
PROVIDER ID REQUIRED FOR
—
01
—
D115268
LICENSE REQUIRED FOR DELT
NJ
Enumeration date
10/31/2006
Last updated
07/08/2007
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