Ccs Dental LLC
Clinic/Center, Dental in Haddonfield, NJ. Organization (NPI-2).
NPI number1487319216
StatusActive
Last updated in NPPESNov 6, 2021
Details
- NPI
- 1487319216
- Entity type
- Organization (NPI-2)
- Legal business name
- Ccs Dental LLC
- Organization subpart
- No
- Enumeration date
- Nov 6, 2021
- Certification date
- Oct 27, 2021
- Last updated
- Nov 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Courtney Cleary Dmd Family And Cosmetic Dentistry (Doing Business As)
Practice location
501 N Haddon Ave Ste 7Haddonfield, NJ 08033-1753
Phone 856-428-3050
Mailing address
238 Jefferson AveHaddonfield, NJ 08033-3857
Phone 215-858-0442
Authorized official
Courtney Cleary Smith
Owner/Dentist
2158580442
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