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NPI Code Detail

MEDICARE: DR. JOHN H BAILEY D.M.D.

MEDICARE:  DR. JOHN H BAILEY  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDI010982NJ

General Provider Information

NPI Number : 1801812771
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN H BAILEY D.M.D.
Provider Business Mailing Address
First Line : 2119 BROWNING RD
Second Line :
City : PENNSAUKEN
State : NJ
Zip : 08110-1910
Country : US
Telephone Number : 856-663-5472
Fax Number :
Provider Business Practice Location Address
First Line : 2119 BROWNING RD
Second Line :
City : PENNSAUKEN
State : NJ
Zip : 08110-1910
Country : US
Telephone Number : 856-663-5472
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JOHN H BAILEY D.M.D.” Practice Location

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