Organization
MEDFORD ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL TINKELMAN DMS (PRESIDENT)
(609) 654-2772
Entity
Organization
Contact information
Practice address
30 JACKSON RD, SUITE C-2, MEDFORD, NJ 08055-9283
(609) 654-2772
(609) 953-5674
Mailing address
30 JACKSON RD, SUITE C-2, MEDFORD, NJ 08055-9283
(609) 654-2772
(609) 953-5674
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DI008099
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1115730
HORIZON MERCY
NJ
01
—
600149
UNITED CONCORDIA
PA
Enumeration date
08/03/2006
Last updated
08/22/2020
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