Active NPIIndividual providerSole proprietor

Dr. Mary E Giacona, DDS

Dentist, Pediatric Dentistry in Ridgewood, New Jersey

NPI Number1659572410
Practice location
1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957
Fax
—
Last updated
July 8, 2007

Mary Elizabeth Giacona is a Dentist, Pediatric Dentistry based in Ridgewood, NJ. Mary Elizabeth Giacona practices in Ridgewood, NJ and has the professional credentials of DDS. The NPI Number for Mary Elizabeth Giacona is 1659572410 and holds a License No. 22DI02283300 (NJ). The current practice location address for Mary Elizabeth Giacona is 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 and can be reached out via phone at 201-652-2707.

Provider Profile Details

NPI Number
1659572410
Provider Name
Mary Elizabeth Giacona
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957
Phone Number
201-652-2707
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
Yes
Provider Enumeration Date
May 30, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957
Zip
07450-3957
Phone Number
201-652-2707
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
4 Overlook Ln
Mendham, NJ 07945-2307
City
Mendham
State
NJ
Zip
07945-2307
Phone Number
646-734-4690

License Information

License Number (1)
22DI02283300
License State (1)
NJ
Taxonomy (1)
Dentist, Pediatric Dentistry · 1223P0221X · Primary
License Number (2)
051304
License State (2)
NY
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X

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. Mary E Giacona, DDS?

The NPI number of Dr. Mary E Giacona, DDS is 1659572410. It was assigned on May 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mary E Giacona, DDS?

Dr. Mary E Giacona, DDS is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NJ under license number 22DI02283300.

Where does Dr. Mary E Giacona, DDS practice?

The practice location is 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957. The office can be reached at 201-652-2707 (phone).

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 1659572410 directly on the NPPES registry website.

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