Active NPIIndividual providerSole proprietor

Dr. Fred A Puccio, DDS

Dentist, General Practice in Garfield, New Jersey

NPI Number1114038460
Practice location
765 Midland Ave, Garfield, NJ 07026-2100
Fax
973-340-2282
Last updated
July 8, 2007

Fred Anthony Puccio is a Dentist, General Practice based in Garfield, NJ. Fred Anthony Puccio practices in Garfield, NJ and has the professional credentials of DDS. The NPI Number for Fred Anthony Puccio is 1114038460 and holds a License No. 19162 (NJ). The current practice location address for Fred Anthony Puccio is 765 Midland Ave, Garfield, NJ 07026-2100 and can be reached out via phone at 973-340-4484 and via fax at 973-340-2282.

Provider Profile Details

NPI Number
1114038460
Provider Name
Fred Anthony Puccio
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
765 Midland Ave, Garfield, NJ 07026-2100
Phone Number
973-340-4484
Fax Number
973-340-2282
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
August 31, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
765 Midland Ave
Garfield, NJ 07026-2100
Zip
07026-2100
Phone Number
973-340-4484
Fax Number
973-340-2282
Garfield, NJ 07026Get directions →

Provider Business Mailing Address Details

Address
765 Midland Ave
Garfield, NJ 07026-2100
City
Garfield
State
NJ
Zip
07026-2100
Phone Number
973-340-4484
Fax Number
973-340-2282

License Information

License Number
19162
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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. Fred A Puccio, DDS?

The NPI number of Dr. Fred A Puccio, DDS is 1114038460. It was assigned on August 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Fred A Puccio, DDS?

Dr. Fred A Puccio, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 19162.

Where does Dr. Fred A Puccio, DDS practice?

The practice location is 765 Midland Ave, Garfield, NJ 07026-2100. The office can be reached at 973-340-4484 (phone) or 973-340-2282 (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 1114038460 directly on the NPPES registry website.

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