Active NPIIndividual provider

Dr. Katelyn M Domingues, DMD

Dentist, General Practice in Long Valley, New Jersey

NPI Number1437504552
Practice location
59 E Mill RD Ste 2-2304, Long Valley, NJ 07853-6215
Fax
908-876-1062
Last updated
July 21, 2022

Katelyn Michelle Domingues is a Dentist, General Practice based in Long Valley, NJ. Katelyn Michelle Domingues practices in Long Valley, NJ and has the professional credentials of DMD. The NPI Number for Katelyn Michelle Domingues is 1437504552 and holds a License No. 22DI02672401 (NJ). The current practice location address for Katelyn Michelle Domingues is 59 E Mill RD Ste 2-2304, Long Valley, NJ 07853-6215 and can be reached out via phone at 908-876-5225 and via fax at 908-876-1062.

Provider Profile Details

NPI Number
1437504552
Provider Name
Katelyn Michelle Domingues
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
59 E Mill RD Ste 2-2304, Long Valley, NJ 07853-6215
Phone Number
908-876-5225
Fax Number
908-876-1062
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
April 26, 2016
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
59 E Mill RD Ste 2-2304
Long Valley, NJ 07853-6215
Zip
07853-6215
Phone Number
908-876-5225
Fax Number
908-876-1062
Long Valley, NJ 07853Get directions →

Provider Business Mailing Address Details

Address
59 E Mill RD Ste 2-2304
Long Valley, NJ 07853-6215
City
Long Valley
State
NJ
Zip
07853-6215
Phone Number
908-876-5225
Fax Number
908-876-1062

License Information

License State (1)
NJ
License Number (2)
22DI02672401
License State (2)
NJ
Taxonomy (2)
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. Katelyn M Domingues, DMD?

The NPI number of Dr. Katelyn M Domingues, DMD is 1437504552. It was assigned on April 26, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Katelyn M Domingues, DMD?

Dr. Katelyn M Domingues, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02672401.

Where does Dr. Katelyn M Domingues, DMD practice?

The practice location is 59 E Mill RD Ste 2-2304, Long Valley, NJ 07853-6215. The office can be reached at 908-876-5225 (phone) or 908-876-1062 (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 1437504552 directly on the NPPES registry website.

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