Active NPIIndividual provider

Robert C Distefano, DMD

Dentist in Farmingdale, New Jersey

NPI Number1437350972
Practice location
3 Southard Avenue, Farmingdale, NJ 07727-1208
Fax
732-938-3822
Last updated
July 8, 2007

Robert C Distefano is a Dentist based in Farmingdale, NJ. Robert C Distefano practices in Farmingdale, NJ and has the professional credentials of DMD. The NPI Number for Robert C Distefano is 1437350972 and holds a License No. D116236 (NJ). The current practice location address for Robert C Distefano is 3 Southard Avenue, Farmingdale, NJ 07727-1208 and can be reached out via phone at 732-938-2800 and via fax at 732-938-3822.

Provider Profile Details

NPI Number
1437350972
Provider Name
Robert C Distefano
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3 Southard Avenue, Farmingdale, NJ 07727-1208
Phone Number
732-938-2800
Fax Number
732-938-3822
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
May 31, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Southard Avenue
Farmingdale, NJ 07727-1208
Zip
07727-1208
Phone Number
732-938-2800
Fax Number
732-938-3822
Farmingdale, NJ 07727Get directions →

Provider Business Mailing Address Details

Address
3 Southard Avenue
Farmingdale, NJ 07727-1208
City
Farmingdale
State
NJ
Zip
07727-1208
Phone Number
732-938-2800
Fax Number
732-938-3822

License Information

License Number
D116236
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 Robert C Distefano, DMD?

The NPI number of Robert C Distefano, DMD is 1437350972. It was assigned on May 31, 2007 and is currently active in the NPPES registry.

What is the specialty of Robert C Distefano, DMD?

Robert C Distefano, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number D116236.

Where does Robert C Distefano, DMD practice?

The practice location is 3 Southard Avenue, Farmingdale, NJ 07727-1208. The office can be reached at 732-938-2800 (phone) or 732-938-3822 (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 1437350972 directly on the NPPES registry website.

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