Provider Demographics
NPI:1114619160
Name:TALMADGE, EUGENE N (DMD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:N
Last Name:TALMADGE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 N 17TH ST APT 201
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-2819
Mailing Address - Country:US
Mailing Address - Phone:347-324-6275
Mailing Address - Fax:
Practice Address - Street 1:1817 MOUNT HOLLY RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-4700
Practice Address - Country:US
Practice Address - Phone:609-267-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI029742001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice