Active NPIIndividual providerSole proprietor

Dr. John C Minichetti, DMD

Dentist, General Practice in Englewood, New Jersey

NPI Number1619990520
Practice location
370 Grand Ave, Suite 200, Englewood, NJ 07631-4154
Fax
201-871-9096
Last updated
July 8, 2007

John Carlo Minichetti is a Dentist, General Practice based in Englewood, NJ. John Carlo Minichetti practices in Englewood, NJ and has the professional credentials of DMD. The NPI Number for John Carlo Minichetti is 1619990520 and holds a License No. 13552 (NJ). The current practice location address for John Carlo Minichetti is 370 Grand Ave, Suite 200, Englewood, NJ 07631-4154 and can be reached out via phone at 201-871-3555 and via fax at 201-871-9096.

Provider Profile Details

NPI Number
1619990520
Provider Name
John Carlo Minichetti
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
370 Grand Ave, Suite 200, Englewood, NJ 07631-4154
Phone Number
201-871-3555
Fax Number
201-871-9096
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
July 25, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
370 Grand Ave
Suite 200
Englewood, NJ 07631-4154
Zip
07631-4154
Phone Number
201-871-3555
Fax Number
201-871-9096
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
370 Grand Ave
Suite 200
Englewood, NJ 07631-4154
City
Englewood
State
NJ
Zip
07631-4154
Phone Number
201-871-3555
Fax Number
201-871-9096

License Information

License Number
13552
License State
NJ
Taxonomy
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. John C Minichetti, DMD?

The NPI number of Dr. John C Minichetti, DMD is 1619990520. It was assigned on July 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. John C Minichetti, DMD?

Dr. John C Minichetti, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 13552.

Where does Dr. John C Minichetti, DMD practice?

The practice location is 370 Grand Ave, Suite 200, Englewood, NJ 07631-4154. The office can be reached at 201-871-3555 (phone) or 201-871-9096 (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 1619990520 directly on the NPPES registry website.

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