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Dr. Joseph Albert Basilicato, DMD
Pediatric Dentist in Pompton Lakes, New Jersey
NPI 1306915202

Joseph Albert Basilicato is a Pediatric Dentist based in Wayne, NJ and is specialized in Pediatric Dentistry. Joseph Albert Basilicato practices in Pompton Lakes, NJ and has the professional credentials of DMD. The NPI Number for Joseph Albert Basilicato is 1306915202 and holds a License No. 22DI02266200 (New Jersey).

The current practice location address for Joseph Albert Basilicato is 191 Hamburg Tpke, Pompton Lakes, NJ and can be reached out via phone at 973-831-0109.

Location: 191 Hamburg Tpke, Pompton Lakes, NJ, 07470-8206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306915202
Provider Name
Joseph Albert Basilicato
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
191 Hamburg Tpke, Pompton Lakes, NJ, 07470-8206
Phone Number
973-831-0109
Fax Number
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
191 Hamburg Tpke
City
Pompton Lakes
State
New Jersey
Zip
07442-2330
Phone Number
973-831-0109
Fax Number
person
Provider Business Mailing Address Details
Address
191 Hamburg Tpke
City
Pompton Lakes
State
New Jersey
Zip
07442-2330
Phone Number
973-831-0109
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
22DI02266200 (New Jersey)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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