Healthcare Provider Details
I. General information
NPI: 1851350425
Provider Name (Legal Business Name): NANCY A KUHL-ERRICKSON DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
385 RTE 24 SUITE 2A
CHESTER NJ
07930-2909
US
IV. Provider business mailing address
PO BOX 748
CHESTER NJ
07930-0748
US
V. Phone/Fax
- Phone: 908-879-4929
- Fax: 908-475-8306
- Phone: 908-879-4929
- Fax: 908-475-8306
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | 22DI01373900 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: