Andrew J. Dietz, DDS, PA

Organization Active NPI Prosthodontics · Haddon Heights, NJ

NPI 1013261791 · NPPES record last updated Nov 2, 2012

Key facts

NPI
1013261791
Entity type
Organization (NPI type 2)
Primary specialty
Prosthodontics 1223P0700X
License
22DI01814600 (NJ)
Legal business name
ANDREW J. DIETZ, DDS, PA
Practice address
17 White Horse Pike
Suite 8
Haddon Heights, NJ 08035-1299
Phone
(856) 547-8664
Fax
(856) 547-5560
NPI assigned
Nov 2, 2012
Organization subpart
No

Authorized official

Name
Andrew J. Dietz, DDS
Title
Owner
Phone
(856) 547-8664

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

17 White Horse Pike
Ste 8
Haddon Heights, NJ 08035
Phone (856) 547-8664

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics
Group: 193400000X SINGLE SPECIALTY GROUP
1223P0700X 22DI01814600 NJ Yes

Addresses

Primary practice location

17 White Horse Pike
Suite 8
Haddon Heights, NJ 08035-1299

Mailing address

17 White Horse Pike
Suite 8
Haddon Heights, NJ 08035-1299
Phone (856) 547-8664

Other providers in Haddon Heights, NJ

All providers in Haddon Heights, NJ · Prosthodontics in New Jersey

Sources for this page

Verify at the official NPI Registry.