Active NPIIndividual providerSole proprietor

Dr. Vincent M Debitetto

Dentist, Oral and Maxillofacial Surgery in Fair Lawn, New Jersey

NPI Number1003449216
Practice location
18-00 Fair Lawn Ave, Fair Lawn, NJ 07410-2330
Fax
—
Last updated
July 10, 2024

Vincent Michael Debitetto is a Dentist, Oral and Maxillofacial Surgery based in Fair Lawn, NJ. Vincent Michael Debitetto practices in Fair Lawn, NJ. The NPI Number for Vincent Michael Debitetto is 1003449216 and holds a License No. 13923 (CT). The current practice location address for Vincent Michael Debitetto is 18-00 Fair Lawn Ave, Fair Lawn, NJ 07410-2330 and can be reached out via phone at 551-286-3040.

Provider Profile Details

NPI Number
1003449216
Provider Name
Vincent Michael Debitetto
Provider Entity Type
Individual
Gender
Male
Address
18-00 Fair Lawn Ave, Fair Lawn, NJ 07410-2330
Phone Number
551-286-3040
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
Yes
Provider Enumeration Date
February 16, 2020
Last Update Date
July 10, 2024
Certification Date
July 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
18-00 Fair Lawn Ave
Fair Lawn, NJ 07410-2330
Zip
07410-2330
Phone Number
551-286-3040
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
25 Soundview Dr
Eastchester, NY 10709-1526
City
Eastchester
State
NY
Zip
10709-1526
Phone Number
914-473-0600

License Information

License Number (1)
13923
License State (1)
CT
Taxonomy (1)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
License Number (2)
22DI03028500
License State (2)
NJ
Taxonomy (2)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Vincent M Debitetto?

The NPI number of Dr. Vincent M Debitetto is 1003449216. It was assigned on February 16, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Vincent M Debitetto?

Dr. Vincent M Debitetto is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in CT under license number 13923.

Where does Dr. Vincent M Debitetto practice?

The practice location is 18-00 Fair Lawn Ave, Fair Lawn, NJ 07410-2330. The office can be reached at 551-286-3040 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003449216 directly on the NPPES registry website.

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