NPI 1194920587

Correctional Dental Associates

Organisation Exclusive Provider Organization Trenton, NJ

Practice location

Address: 192 W State St, Trenton, NJ 08608-1104
Phone: (609) 599-2800
Fax: (609) 599-4128

Authorised official

Name: Leslie Ambrose Hayling
Title: President
Phone: (609) 599-2800

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in New Jersey →

Registry record

NPI: 1194920587
Entity type: Organization
NPI issued: 18 Jun 2007
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.