Active NPIIndividual provider

Dr. Louis J Marconyak Jr., DMD

Dentist, Endodontics in Jb Mdl, New Jersey

NPI Number1710962402
Practice location
2417 Mcguire Blvd Bldg 2417, Jb Mdl, NJ 08641-5116
Fax
—
Last updated
April 12, 2018

Louis Joseph Marconyak is a Dentist, Endodontics based in Jb Mdl, NJ. Louis Joseph Marconyak practices in Jb Mdl, NJ and has the professional credentials of DMD. The NPI Number for Louis Joseph Marconyak is 1710962402 and holds a License No. 0401411087 (VA). The current practice location address for Louis Joseph Marconyak is 2417 Mcguire Blvd Bldg 2417, Jb Mdl, NJ 08641-5116 and can be reached out via phone at 609-754-3787.

Provider Profile Details

NPI Number
1710962402
Provider Name
Louis Joseph Marconyak
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2417 Mcguire Blvd Bldg 2417, Jb Mdl, NJ 08641-5116
Phone Number
609-754-3787
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Sole Proprietor
No
Provider Enumeration Date
December 14, 2005
Last Update Date
April 12, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
2417 Mcguire Blvd Bldg 2417
Jb Mdl, NJ 08641-5116
City
Jb Mdl
Zip
08641-5116
Phone Number
609-754-3787
Jb Mdl, NJ 08641Get directions →

Provider Business Mailing Address Details

Address
2417 Mcguire Blvd Bldg 2417
Jb Mdl, NJ 08641-5116
City
Jb Mdl
State
NJ
Zip
08641-5116
Phone Number
609-754-3787
Fax Number
609-754-9042

License Information

License Number (1)
0401411087
License State (1)
VA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
0401444087
License State (2)
VA
Taxonomy (2)
Dentist, Endodontics · 1223E0200X · 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. Louis J Marconyak Jr., DMD?

The NPI number of Dr. Louis J Marconyak Jr., DMD is 1710962402. It was assigned on December 14, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Louis J Marconyak Jr., DMD?

Dr. Louis J Marconyak Jr., DMD is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in VA under license number 0401411087.

Where does Dr. Louis J Marconyak Jr., DMD practice?

The practice location is 2417 Mcguire Blvd Bldg 2417, Jb Mdl, NJ 08641-5116. The office can be reached at 609-754-3787 (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 1710962402 directly on the NPPES registry website.

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