Dr. Sebu Idiculla, DMD
Dentist, General Practice in North Haledon, New Jersey
1245306406- Practice location
- 5 Sicomac RD, Suite 12, North Haledon, NJ 07508-2972
- Phone
- 973-423-3399
- Fax
- 973-423-4828
- Last updated
- April 19, 2011
Sebu Idiculla is a Dentist, General Practice based in North Haledon, NJ. Sebu Idiculla practices in North Haledon, NJ and has the professional credentials of DMD. The NPI Number for Sebu Idiculla is 1245306406 and holds a License No. 22DI02241500 (NJ). The current practice location address for Sebu Idiculla is 5 Sicomac RD, Suite 12, North Haledon, NJ 07508-2972 and can be reached out via phone at 973-423-3399 and via fax at 973-423-4828.
Provider Profile Details
- NPI Number
- 1245306406
- Provider Name
- Sebu Idiculla
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 5 Sicomac RD, Suite 12, North Haledon, NJ 07508-2972
- Phone Number
- 973-423-3399
- Fax Number
- 973-423-4828
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 28, 2006
- Last Update Date
- April 19, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5 Sicomac RD
Suite 12
North Haledon, NJ 07508-2972 - City
- North Haledon
- State
- New Jersey
- Zip
- 07508-2972
- Phone Number
- 973-423-3399
- Fax Number
- 973-423-4828
Provider Business Mailing Address Details
- Address
- 5 Sicomac RD
Suite 12
North Haledon, NJ 07508-2972 - City
- North Haledon
- State
- NJ
- Zip
- 07508-2972
- Phone Number
- 973-423-3399
- Fax Number
- 973-423-4828
License Information
- License Number
- 22DI02241500
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near North Haledon, NJ
View all Dentist, General Practice providers in North Haledon →- Dr. Anna J Huh, DMDDentist, General Practice · NPI 1194845149
- Dr. Gregory J Vanvliet, DENTISTDentist, General Practice · NPI 1376635128
- Dr. Ken Davis, DMDDentist, General Practice · NPI 1396837456
- Dr. Peter Perera, DMD, PADentist, General Practice · NPI 1417049255
- Gregory Vanvlietdds,peter Perera Dmd,paDentist, General Practice · NPI 1073681060
Frequently Asked Questions
What is the NPI number of Dr. Sebu Idiculla, DMD?
The NPI number of Dr. Sebu Idiculla, DMD is 1245306406. It was assigned on November 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Sebu Idiculla, DMD?
Dr. Sebu Idiculla, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02241500.
Where does Dr. Sebu Idiculla, DMD practice?
The practice location is 5 Sicomac RD, Suite 12, North Haledon, NJ 07508-2972. The office can be reached at 973-423-3399 (phone) or 973-423-4828 (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 1245306406 directly on the NPPES registry website.