Organization
NEW TOWN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KUPCHA DDS (DENTIST/OWNER)
(856) 223-1945
Entity
Organization
Contact information
Practice address
10 S MAIN ST, MULLICA HILL, NJ 08062-9401
(856) 223-1945
(856) 223-1947
Mailing address
10 S MAIN ST, MULLICA HILL, NJ 08062-9401
(856) 223-1945
(856) 223-1947
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063134476
DO NOT ACCEPT MEDICAID OR MEDICARE
NJ
01
—
1285783043
DO NOT ACCEPT MEDICAID OR MEDICARE
NJ
Enumeration date
04/29/2025
Last updated
04/29/2025
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