Active NPIIndividual provider

Dr. Steven Koretzky, DMD

Dentist, General Practice in South Orange, New Jersey

NPI Number1730218280
Practice location
45 Prospect St, South Orange, NJ 07079-2100
Fax
973-763-0906
Last updated
July 8, 2007

Steven Koretzky is a Dentist, General Practice based in South Orange, NJ. Steven Koretzky practices in South Orange, NJ and has the professional credentials of DMD. The NPI Number for Steven Koretzky is 1730218280 and holds a License No. 22DI01951600 (NJ). The current practice location address for Steven Koretzky is 45 Prospect St, South Orange, NJ 07079-2100 and can be reached out via phone at 973-763-2940 and via fax at 973-763-0906.

Provider Profile Details

NPI Number
1730218280
Provider Name
Steven Koretzky
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
45 Prospect St, South Orange, NJ 07079-2100
Phone Number
973-763-2940
Fax Number
973-763-0906
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
March 2, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Prospect St
South Orange, NJ 07079-2100
Zip
07079-2100
Phone Number
973-763-2940
Fax Number
973-763-0906
South Orange, NJ 07079Get directions →

Provider Business Mailing Address Details

Address
41 Wyckoff Dr
Pittstown, NJ 08867-4235
City
Pittstown
State
NJ
Zip
08867-4235
Phone Number
973-763-2940
Fax Number
973-763-0906

License Information

License Number
22DI01951600
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. Steven Koretzky, DMD?

The NPI number of Dr. Steven Koretzky, DMD is 1730218280. It was assigned on March 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Steven Koretzky, DMD?

Dr. Steven Koretzky, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI01951600.

Where does Dr. Steven Koretzky, DMD practice?

The practice location is 45 Prospect St, South Orange, NJ 07079-2100. The office can be reached at 973-763-2940 (phone) or 973-763-0906 (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 1730218280 directly on the NPPES registry website.

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