Dr. Edmund R Proctor Jr., DDS
Dentist, Pediatric Dentistry in Clinton, New Jersey
1144350430- Practice location
- 12 Moebus Place, Clinton, NJ 08809-1023
- Phone
- 908-713-6677
- Fax
- 908-713-6120
- Last updated
- July 8, 2007
Edmund Richard Proctor is a Dentist, Pediatric Dentistry based in Clinton, NJ. Edmund Richard Proctor practices in Clinton, NJ and has the professional credentials of DDS. The NPI Number for Edmund Richard Proctor is 1144350430 and holds a License No. D1013938 (NJ). The current practice location address for Edmund Richard Proctor is 12 Moebus Place, Clinton, NJ 08809-1023 and can be reached out via phone at 908-713-6677 and via fax at 908-713-6120.
Provider Profile Details
- NPI Number
- 1144350430
- Provider Name
- Edmund Richard Proctor
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 12 Moebus Place, Clinton, NJ 08809-1023
- Phone Number
- 908-713-6677
- Fax Number
- 908-713-6120
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 6, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Moebus Place
Clinton, NJ 08809-1023 - City
- Clinton
- State
- New Jersey
- Zip
- 08809-1023
- Phone Number
- 908-713-6677
- Fax Number
- 908-713-6120
Provider Business Mailing Address Details
- Address
- 129 Monmouth Road
Elizabeth, NJ 07208 - City
- Elizabeth
- State
- NJ
- Zip
- 07208
- Phone Number
- 908-527-6368
License Information
- License Number
- D1013938
- License State
- NJ
- Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Edmund R Proctor Jr., DDS?
The NPI number of Dr. Edmund R Proctor Jr., DDS is 1144350430. It was assigned on March 6, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Edmund R Proctor Jr., DDS?
Dr. Edmund R Proctor Jr., DDS is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NJ under license number D1013938.
Where does Dr. Edmund R Proctor Jr., DDS practice?
The practice location is 12 Moebus Place, Clinton, NJ 08809-1023. The office can be reached at 908-713-6677 (phone) or 908-713-6120 (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 1144350430 directly on the NPPES registry website.