Organization
FAMILY DENTAL CARE OF SOUTH JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LEE SCHUPPER D.M.D. (VP)
(856) 309-2244
Entity
Organization
Contact information
Practice address
707 HADDONFIELD BERLIN ROAD, UNIT B, VOORHEES, NJ 08043
(856) 309-2244
(856) 309-2247
Mailing address
707 HADDONFIELD BERLIN RD, UNIT B, VOORHEES, NJ 08043-3714
(856) 309-2244
(856) 309-2247
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01705400
NJ
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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