Active NPIIndividual providerSole proprietor

Dr. Brandon S Elimanco, DMD

Dentist, General Practice in Freehold, New Jersey

NPI Number1326175415
Practice location
63 W Main St, Freehold, NJ 07728-2140
Fax
732-770-7701
Last updated
July 8, 2007

Brandon Suello Elimanco is a Dentist, General Practice based in Freehold, NJ. Brandon Suello Elimanco practices in Freehold, NJ and has the professional credentials of DMD. The NPI Number for Brandon Suello Elimanco is 1326175415 and holds a License No. DI018425 (NJ). The current practice location address for Brandon Suello Elimanco is 63 W Main St, Freehold, NJ 07728-2140 and can be reached out via phone at 732-780-1400 and via fax at 732-770-7701.

Provider Profile Details

NPI Number
1326175415
Provider Name
Brandon Suello Elimanco
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
63 W Main St, Freehold, NJ 07728-2140
Phone Number
732-780-1400
Fax Number
732-770-7701
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
February 27, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 W Main St
Freehold, NJ 07728-2140
Zip
07728-2140
Phone Number
732-780-1400
Fax Number
732-770-7701
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
63 W Main St
Freehold, NJ 07728-2140
City
Freehold
State
NJ
Zip
07728-2140
Phone Number
732-780-1400
Fax Number
732-770-7701

License Information

License Number
DI018425
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. Brandon S Elimanco, DMD?

The NPI number of Dr. Brandon S Elimanco, DMD is 1326175415. It was assigned on February 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Brandon S Elimanco, DMD?

Dr. Brandon S Elimanco, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI018425.

Where does Dr. Brandon S Elimanco, DMD practice?

The practice location is 63 W Main St, Freehold, NJ 07728-2140. The office can be reached at 732-780-1400 (phone) or 732-770-7701 (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 1326175415 directly on the NPPES registry website.

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