Dr. Thomas V Distefano, DMD
Dentist in Basking Ridge, New Jersey
1538327200- Practice location
- 25 Mountainview Blvd Ste 205, Basking Ridge, NJ 07920-3453
- Phone
- 908-604-0200
- Fax
- 908-686-6301
- Last updated
- August 25, 2020
Thomas V Distefano is a Dentist based in Basking Ridge, NJ. Thomas V Distefano practices in Basking Ridge, NJ and has the professional credentials of DMD. The NPI Number for Thomas V Distefano is 1538327200 and holds a License No. 22DI01562000 (NJ). The current practice location address for Thomas V Distefano is 25 Mountainview Blvd Ste 205, Basking Ridge, NJ 07920-3453 and can be reached out via phone at 908-604-0200 and via fax at 908-686-6301.
Provider Profile Details
- NPI Number
- 1538327200
- Provider Name
- Thomas V Distefano
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 25 Mountainview Blvd Ste 205, Basking Ridge, NJ 07920-3453
- Phone Number
- 908-604-0200
- Fax Number
- 908-686-6301
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 29, 2008
- Last Update Date
- August 25, 2020
- Certification Date
- August 25, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Mountainview Blvd Ste 205
Basking Ridge, NJ 07920-3453 - City
- Basking Ridge
- State
- New Jersey
- Zip
- 07920-3453
- Phone Number
- 908-604-0200
- Fax Number
- 908-686-6301
Provider Business Mailing Address Details
- Address
- 2333 Morris Ave
Suite D105
Union, NJ 07083 - City
- Union
- State
- NJ
- Zip
- 07083
- Phone Number
- 908-686-5277
- Fax Number
- 908-686-6301
License Information
- License Number
- 22DI01562000
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · 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. Thomas V Distefano, DMD?
The NPI number of Dr. Thomas V Distefano, DMD is 1538327200. It was assigned on May 29, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Thomas V Distefano, DMD?
Dr. Thomas V Distefano, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI01562000.
Where does Dr. Thomas V Distefano, DMD practice?
The practice location is 25 Mountainview Blvd Ste 205, Basking Ridge, NJ 07920-3453. The office can be reached at 908-604-0200 (phone) or 908-686-6301 (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 1538327200 directly on the NPPES registry website.