Provider Demographics
NPI:1629329925
Name:AFFORDABLE DENTURES - VINELAND, MICHELLE AITKEN, DDS., P.A.
Entity Type:Organization
Organization Name:AFFORDABLE DENTURES - VINELAND, MICHELLE AITKEN, DDS., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TPP MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-208-3241
Mailing Address - Street 1:60 W LANDIS AVE
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-8107
Mailing Address - Country:US
Mailing Address - Phone:856-692-0735
Mailing Address - Fax:856-692-0781
Practice Address - Street 1:60 W LANDIS AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-8107
Practice Address - Country:US
Practice Address - Phone:856-692-0735
Practice Address - Fax:856-692-0781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-26
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty