Organization
FAIRFIELD FAMILY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD D GAINES D.M.D. (PRESIDENT)
(973) 227-0861
Entity
Organization
Contact information
Practice address
271 US HIGHWAY 46, SUITE A101, FAIRFIELD, NJ 07004-2440
(973) 227-0861
(973) 227-1666
Mailing address
271 US HIGHWAY 46, SUITE A101, FAIRFIELD, NJ 07004-2440
(973) 227-0861
(973) 227-1666
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
15309
NJ
Other
Enumeration date
06/20/2007
Last updated
08/15/2013
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