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NPI Code Detail

MEDICARE: DR. EDWARD J. TINNEY D.D.S.

MEDICARE:  DR. EDWARD J. TINNEY  D.D.S.
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
11223G0001XGeneral Practice DentistryNJ 22DIO12632NJ

General Provider Information

NPI Number : 1629108667
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD J. TINNEY D.D.S.
Provider Business Mailing Address
First Line : 650 TOWN BANK RD
Second Line :
City : NORTH CAPE MAY
State : NJ
Zip : 08204-4409
Country : US
Telephone Number : 609-884-2969
Fax Number : 609-884-5318
Provider Business Practice Location Address
First Line : 650 TOWN BANK RD
Second Line :
City : NORTH CAPE MAY
State : NJ
Zip : 08204-4409
Country : US
Telephone Number : 609-884-2969
Fax Number : 609-884-5318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 07/08/2007

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Directions to “ DR. EDWARD J. TINNEY D.D.S.” Practice Location

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