Provider Demographics
NPI:1578206793
Name:DAG TURNERSVILLE, P.A.
Entity Type:Organization
Organization Name:DAG TURNERSVILLE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:RAFAELA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEDELEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-334-0082
Mailing Address - Street 1:141 TUCKAHOE RD STE 380
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-3845
Mailing Address - Country:US
Mailing Address - Phone:856-350-4516
Mailing Address - Fax:856-318-7435
Practice Address - Street 1:141 TUCKAHOE RD STE 380
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-3845
Practice Address - Country:US
Practice Address - Phone:856-350-4516
Practice Address - Fax:856-318-7435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-15
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty