Active NPIIndividual providerSole proprietor

Dr. Michael J Connolly, DMD

Dentist in Fair Haven, New Jersey

NPI Number1629163456
Practice location
393A River RD, Fair Haven, NJ 07704-3029
Fax
732-842-6551
Last updated
July 8, 2007

Michael Joseph Connolly is a Dentist based in Fair Haven, NJ. Michael Joseph Connolly practices in Fair Haven, NJ and has the professional credentials of DMD. The NPI Number for Michael Joseph Connolly is 1629163456 and holds a License No. 22DI01135100 (NJ). The current practice location address for Michael Joseph Connolly is 393A River RD, Fair Haven, NJ 07704-3029 and can be reached out via phone at 732-842-8014 and via fax at 732-842-6551.

Provider Profile Details

NPI Number
1629163456
Provider Name
Michael Joseph Connolly
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
393A River RD, Fair Haven, NJ 07704-3029
Phone Number
732-842-8014
Fax Number
732-842-6551
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
October 4, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
393A River RD
Fair Haven, NJ 07704-3029
Zip
07704-3029
Phone Number
732-842-8014
Fax Number
732-842-6551
Fair Haven, NJ 07704Get directions →

Provider Business Mailing Address Details

Address
393 River RD
Fair Haven, NJ 07704-3029
City
Fair Haven
State
NJ
Zip
07704-3029
Phone Number
732-842-2579

License Information

License Number
22DI01135100
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 Dr. Michael J Connolly, DMD?

The NPI number of Dr. Michael J Connolly, DMD is 1629163456. It was assigned on October 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael J Connolly, DMD?

Dr. Michael J Connolly, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI01135100.

Where does Dr. Michael J Connolly, DMD practice?

The practice location is 393A River RD, Fair Haven, NJ 07704-3029. The office can be reached at 732-842-8014 (phone) or 732-842-6551 (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 1629163456 directly on the NPPES registry website.

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