Active NPIIndividual provider

Dr. Justin C Ponquinette, DMD

Dentist, Oral and Maxillofacial Surgery in Clifton, New Jersey

NPI Number1679747190
Practice location
970 Clifton Ave, Second Floor, Clifton, NJ 07013-2731
Fax
—
Last updated
April 15, 2008

Justin Charles Ponquinette is a Dentist, Oral and Maxillofacial Surgery based in Clifton, NJ. Justin Charles Ponquinette practices in Clifton, NJ and has the professional credentials of DMD. The NPI Number for Justin Charles Ponquinette is 1679747190 and holds a License No. 22DI02369900 (NJ). The current practice location address for Justin Charles Ponquinette is 970 Clifton Ave, Second Floor, Clifton, NJ 07013-2731 and can be reached out via phone at 973-473-3100.

Provider Profile Details

NPI Number
1679747190
Provider Name
Justin Charles Ponquinette
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
970 Clifton Ave, Second Floor, Clifton, NJ 07013-2731
Phone Number
973-473-3100
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
No
Provider Enumeration Date
April 15, 2008
Last Update Date
April 15, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
970 Clifton Ave
Second Floor
Clifton, NJ 07013-2731
Zip
07013-2731
Phone Number
973-473-3100
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
126 Deepwater Cir
Manalapan, NJ 07726-4148
City
Manalapan
State
NJ
Zip
07726-4148
Phone Number
718-704-3037

License Information

License Number
22DI02369900
License State
NJ
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · 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. Justin C Ponquinette, DMD?

The NPI number of Dr. Justin C Ponquinette, DMD is 1679747190. It was assigned on April 15, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Justin C Ponquinette, DMD?

Dr. Justin C Ponquinette, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number 22DI02369900.

Where does Dr. Justin C Ponquinette, DMD practice?

The practice location is 970 Clifton Ave, Second Floor, Clifton, NJ 07013-2731. The office can be reached at 973-473-3100 (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 1679747190 directly on the NPPES registry website.

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