Active NPIOrganization

Keyport Dental Group

Dentist in Point Pleasant Boro, New Jersey

NPI Number1346515384
Practice location
2407 Bridge Ave, Point Pleasant Boro, NJ 08742-4334
Fax
732-714-1142
Last updated
March 8, 2012

Keyport Dental Group is a healthcare organization based in Point Pleasant Boro, NJ. Keyport Dental Group practices in Point Pleasant Boro, NJ. The NPI Number for Keyport Dental Group is 1346515384 and holds a License No. di20087 (NJ). The current practice location address for Keyport Dental Group is 2407 Bridge Ave, Point Pleasant Boro, NJ 08742-4334 and can be reached out via phone at 732-714-1030 and via fax at 732-714-1142.

Provider Profile Details

NPI Number
1346515384
Provider Name
Keyport Dental Group
Provider Entity Type
Organization
Address
2407 Bridge Ave, Point Pleasant Boro, NJ 08742-4334
Phone Number
732-714-1030
Fax Number
732-714-1142
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Joseph Richard Zicchino, DDS · Owner · 732-714-1030
Provider Enumeration Date
March 8, 2012
Last Update Date
March 8, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
2407 Bridge Ave
Point Pleasant Boro, NJ 08742-4334
Zip
08742-4334
Phone Number
732-714-1030
Fax Number
732-714-1142
Point Pleasant Boro, NJ 08742Get directions →

Provider Business Mailing Address Details

Address
2407 Bridge Ave
Point Pleasant Boro, NJ 08742-4334
City
Point Pleasant Boro
State
NJ
Zip
08742-4334
Phone Number
732-714-1030
Fax Number
732-714-1142

License Information

License Number
di20087
License State
NJ
Taxonomy
Dentist · 122300000X · 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 Keyport Dental Group?

The NPI number of Keyport Dental Group is 1346515384. It was assigned on March 8, 2012 and is currently active in the NPPES registry.

What is the specialty of Keyport Dental Group?

Keyport Dental Group is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number di20087.

Where does Keyport Dental Group practice?

The practice location is 2407 Bridge Ave, Point Pleasant Boro, NJ 08742-4334. The office can be reached at 732-714-1030 (phone) or 732-714-1142 (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 1346515384 directly on the NPPES registry website.

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