Active NPIIndividual providerSole proprietor

Dr. Mary V Decicco, DMD

Dentist, General Practice in Skillman, New Jersey

NPI Number1720102825
Practice location
67 Tamarack Cir, Skillman, NJ 08558-2019
Fax
609-921-9508
Last updated
July 8, 2007

Mary Veronica Decicco is a Dentist, General Practice based in Skillman, NJ. Mary Veronica Decicco practices in Skillman, NJ and has the professional credentials of DMD. The NPI Number for Mary Veronica Decicco is 1720102825 and holds a License No. DI012330 (NJ). The current practice location address for Mary Veronica Decicco is 67 Tamarack Cir, Skillman, NJ 08558-2019 and can be reached out via phone at 609-921-7744 and via fax at 609-921-9508.

Provider Profile Details

NPI Number
1720102825
Provider Name
Mary Veronica Decicco
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
67 Tamarack Cir, Skillman, NJ 08558-2019
Phone Number
609-921-7744
Fax Number
609-921-9508
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
March 16, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
67 Tamarack Cir
Skillman, NJ 08558-2019
Zip
08558-2019
Phone Number
609-921-7744
Fax Number
609-921-9508
Skillman, NJ 08558Get directions →

Provider Business Mailing Address Details

Address
67 Tamarack Cir
Skillman, NJ 08558-2019
City
Skillman
State
NJ
Zip
08558-2019
Phone Number
609-921-7744
Fax Number
609-921-9508

License Information

License Number
DI012330
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. Mary V Decicco, DMD?

The NPI number of Dr. Mary V Decicco, DMD is 1720102825. It was assigned on March 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mary V Decicco, DMD?

Dr. Mary V Decicco, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI012330.

Where does Dr. Mary V Decicco, DMD practice?

The practice location is 67 Tamarack Cir, Skillman, NJ 08558-2019. The office can be reached at 609-921-7744 (phone) or 609-921-9508 (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 1720102825 directly on the NPPES registry website.

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