Active NPIIndividual provider

Dr. Keri Fedullo, DMD

Dentist, General Practice in Ship Bottom, New Jersey

NPI Number1215046727
Practice location
508 Long Beach Blvd, Ship Bottom, NJ 08008-4727
Fax
609-597-2702
Last updated
July 8, 2007

Keri Fedullo is a Dentist, General Practice based in Ship Bottom, NJ. Keri Fedullo practices in Ship Bottom, NJ and has the professional credentials of DMD. The NPI Number for Keri Fedullo is 1215046727 and holds a License No. 22DI02219200 (NJ). The current practice location address for Keri Fedullo is 508 Long Beach Blvd, Ship Bottom, NJ 08008-4727 and can be reached out via phone at 609-597-9290 and via fax at 609-597-2702.

Provider Profile Details

NPI Number
1215046727
Provider Name
Keri Fedullo
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
508 Long Beach Blvd, Ship Bottom, NJ 08008-4727
Phone Number
609-597-9290
Fax Number
609-597-2702
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 29, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
508 Long Beach Blvd
Ship Bottom, NJ 08008-4727
Zip
08008-4727
Phone Number
609-597-9290
Fax Number
609-597-2702
Ship Bottom, NJ 08008Get directions →

Provider Business Mailing Address Details

Address
508 Long Beach Blvd
Ship Bottom, NJ 08008-4727
City
Ship Bottom
State
NJ
Zip
08008-4727
Phone Number
609-597-9290
Fax Number
609-597-2702

License Information

License Number
22DI02219200
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. Keri Fedullo, DMD?

The NPI number of Dr. Keri Fedullo, DMD is 1215046727. It was assigned on August 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Keri Fedullo, DMD?

Dr. Keri Fedullo, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02219200.

Where does Dr. Keri Fedullo, DMD practice?

The practice location is 508 Long Beach Blvd, Ship Bottom, NJ 08008-4727. The office can be reached at 609-597-9290 (phone) or 609-597-2702 (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 1215046727 directly on the NPPES registry website.

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