Comprehensive & Cosmetic & General Dististry
Dentist in Wall Township, New Jersey
1104930668- Practice location
- 3350 State Route 138, Ste 127, Wall Township, NJ 07719-9693
- Phone
- 732-556-9600
- Fax
- 732-556-9601
- Last updated
- May 6, 2015
Comprehensive & Cosmetic & General Dististry is a healthcare organization based in Wall Township, NJ. Comprehensive & Cosmetic & General Dististry practices in Wall Township, NJ. The NPI Number for Comprehensive & Cosmetic & General Dististry is 1104930668 and holds a License No. 11320 (NJ). The current practice location address for Comprehensive & Cosmetic & General Dististry is 3350 State Route 138, Ste 127, Wall Township, NJ 07719-9693 and can be reached out via phone at 732-556-9600 and via fax at 732-556-9601.
Provider Profile Details
- NPI Number
- 1104930668
- Provider Name
- Comprehensive & Cosmetic & General Dististry
- Provider Entity Type
- Organization
- Address
- 3350 State Route 138, Ste 127, Wall Township, NJ 07719-9693
- Phone Number
- 732-556-9600
- Fax Number
- 732-556-9601
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Anthony Joseph Mancino, DDS · Owner,president · 732-556-9600
- Provider Enumeration Date
- August 19, 2006
- Last Update Date
- May 6, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3350 State Route 138
Ste 127
Wall Township, NJ 07719-9693 - City
- Wall Township
- State
- New Jersey
- Zip
- 07719-9693
- Phone Number
- 732-556-9600
- Fax Number
- 732-556-9601
Provider Business Mailing Address Details
- Address
- 3350 State Route 138
Ste 127
Wall Township, NJ 07719-9693 - City
- Wall Township
- State
- NJ
- Zip
- 07719-9693
- Phone Number
- 732-556-9600
- Fax Number
- 732-556-9601
License Information
- License Number
- 11320
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Wall Township, NJ
View all Dentists in Wall Township →- Dr. Anthony Mancino, DMDDentist · NPI 1144608530
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Frequently Asked Questions
What is the NPI number of Comprehensive & Cosmetic & General Dististry?
The NPI number of Comprehensive & Cosmetic & General Dististry is 1104930668. It was assigned on August 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Comprehensive & Cosmetic & General Dististry?
Comprehensive & Cosmetic & General Dististry is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 11320.
Where does Comprehensive & Cosmetic & General Dististry practice?
The practice location is 3350 State Route 138, Ste 127, Wall Township, NJ 07719-9693. The office can be reached at 732-556-9600 (phone) or 732-556-9601 (fax).
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 1104930668 directly on the NPPES registry website.