Active NPIIndividual provider

Dr. Gerard M Mirkov, DMD

Dentist, Oral and Maxillofacial Surgery in Montclair, New Jersey

NPI Number1720203847
Practice location
89 Park Street, Montclair, NJ 07042
Fax
973-744-3114
Last updated
July 8, 2007

Gerard Matthew Mirkov is a Dentist, Oral and Maxillofacial Surgery based in Montclair, NJ. Gerard Matthew Mirkov practices in Montclair, NJ and has the professional credentials of DMD. The NPI Number for Gerard Matthew Mirkov is 1720203847 and holds a License No. 17326 (NJ). The current practice location address for Gerard Matthew Mirkov is 89 Park Street, Montclair, NJ 07042 and can be reached out via phone at 973-746-6200 and via fax at 973-744-3114.

Provider Profile Details

NPI Number
1720203847
Provider Name
Gerard Matthew Mirkov
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
89 Park Street, Montclair, NJ 07042
Phone Number
973-746-6200
Fax Number
973-744-3114
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
No
Provider Enumeration Date
April 16, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
89 Park Street
Montclair, NJ 07042
Zip
07042
Phone Number
973-746-6200
Fax Number
973-744-3114
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
89 Park Street
Montclair, NJ 07042
City
Montclair
State
NJ
Zip
07042
Phone Number
973-746-6200
Fax Number
973-744-3114

License Information

License Number
17326
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.

Other Dentist, Oral and Maxillofacial Surgery providers near Montclair, NJ

View all Dentist, Oral and Maxillofacial Surgery providers in Montclair →

Frequently Asked Questions

What is the NPI number of Dr. Gerard M Mirkov, DMD?

The NPI number of Dr. Gerard M Mirkov, DMD is 1720203847. It was assigned on April 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Gerard M Mirkov, DMD?

Dr. Gerard M Mirkov, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number 17326.

Where does Dr. Gerard M Mirkov, DMD practice?

The practice location is 89 Park Street, Montclair, NJ 07042. The office can be reached at 973-746-6200 (phone) or 973-744-3114 (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 1720203847 directly on the NPPES registry website.

Browse related providers