Dr. Brian G Depetris, DMD
Dentist, General Practice in Clifton, New Jersey
1467610519- Practice location
- 1011 Clifton Ave, Suite 2-A, Clifton, NJ 07013-3518
- Phone
- 973-365-2620
- Fax
- 973-365-2621
- Last updated
- May 27, 2008
Brian G Depetris is a Dentist, General Practice based in Clifton, NJ. Brian G Depetris practices in Clifton, NJ and has the professional credentials of DMD. The NPI Number for Brian G Depetris is 1467610519 and holds a License No. 22D101187300 (NJ). The current practice location address for Brian G Depetris is 1011 Clifton Ave, Suite 2-A, Clifton, NJ 07013-3518 and can be reached out via phone at 973-365-2620 and via fax at 973-365-2621.
Provider Profile Details
- NPI Number
- 1467610519
- Provider Name
- Brian G Depetris
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1011 Clifton Ave, Suite 2-A, Clifton, NJ 07013-3518
- Phone Number
- 973-365-2620
- Fax Number
- 973-365-2621
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 27, 2008
- Last Update Date
- May 27, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1011 Clifton Ave
Suite 2-A
Clifton, NJ 07013-3518 - City
- Clifton
- State
- New Jersey
- Zip
- 07013-3518
- Phone Number
- 973-365-2620
- Fax Number
- 973-365-2621
Provider Business Mailing Address Details
- Address
- 1011 Clifton Ave
Suite 2-A
Clifton, NJ 07013-3518 - City
- Clifton
- State
- NJ
- Zip
- 07013-3518
- Phone Number
- 973-365-2620
- Fax Number
- 973-365-2621
License Information
- License Number
- 22D101187300
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Brian G Depetris, DMD?
The NPI number of Dr. Brian G Depetris, DMD is 1467610519. It was assigned on May 27, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Brian G Depetris, DMD?
Dr. Brian G Depetris, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22D101187300.
Where does Dr. Brian G Depetris, DMD practice?
The practice location is 1011 Clifton Ave, Suite 2-A, Clifton, NJ 07013-3518. The office can be reached at 973-365-2620 (phone) or 973-365-2621 (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 1467610519 directly on the NPPES registry website.