Organization
FREEHOLD ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALIE NEBBLETT (ORTHODONTIST)
(732) 462-0700
Entity
Organization
Contact information
Practice address
55-77 SCHANCK RD, SUITE B-15, FREEHOLD, NJ 07728
(732) 462-0700
Mailing address
55-77 SCHANCK RD, SUITE B-15, FREEHOLD, NJ 07728
(732) 462-0700
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22DI02223194
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02272100
NJ
Other
Enumeration date
01/18/2013
Last updated
01/23/2017
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