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NPI Code Detail

MEDICARE: ROBERT KREUTZ DDS LLC

MEDICARE: ROBERT KREUTZ DDS LLC
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 Dentistry22DI01398400NJ

General Provider Information

NPI Number : 1689823601
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT KREUTZ DDS LLC
Provider Business Mailing Address
First Line : 2046 W COUNTY LINE RD
Second Line : SUITE 1
City : JACKSON
State : NJ
Zip : 08527-2014
Country : US
Telephone Number : 732-905-9932
Fax Number : 732-905-7289
Provider Business Practice Location Address
First Line : 2046 W COUNTY LINE RD
Second Line : SUITE 1
City : JACKSON
State : NJ
Zip : 08527-2014
Country : US
Telephone Number : 732-905-9932
Fax Number : 732-905-7289
Authorized Official
Title or Position : DENTIST/OWNER
Name : DR. ROBERT THOMAS KREUTZ
Credential : DDS
Telephone Number : 732-905-9932
Provider Enumeration Date : 09/15/2008
Last Update Date : 09/15/2008

Similar Medicare Providers

1306816830 — DR. ROBERT THOMAS KREUTZ DDS
Practice Location Address:
2046 W COUNTY LINE RD , SUITE 1
JACKSON, NJ
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Practice Fax: 732-905-7289
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Directions to “ROBERT KREUTZ DDS LLC ” Practice Location

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