Organization
SYCAMORE SMILES PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITNI LOREN KEARNS DMD (OWNER/DENTIST)
(908) 489-0997
Entity
Organization
Contact information
Practice address
1029 SYCAMORE AVE, TINTON FALLS, NJ 07724-3186
(908) 489-0997
Mailing address
7 OAKWOOD LN, RUMSON, NJ 07760-1308
(908) 489-0997
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
09/21/2021
Last updated
09/21/2021
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