Active NPIIndividual providerSole proprietor

Dr. Paul T Leary, DMD

Dentist, General Practice in Kinnelon, New Jersey

NPI Number1760569305
Practice location
17 Kiel Ave, Kinnelon, NJ 07405-1706
Fax
973-838-8074
Last updated
July 8, 2007

Paul Thomas Leary is a Dentist, General Practice based in Kinnelon, NJ. Paul Thomas Leary practices in Kinnelon, NJ and has the professional credentials of DMD. The NPI Number for Paul Thomas Leary is 1760569305 and holds a License No. 18732 (NJ). The current practice location address for Paul Thomas Leary is 17 Kiel Ave, Kinnelon, NJ 07405-1706 and can be reached out via phone at 973-838-1270 and via fax at 973-838-8074.

Provider Profile Details

NPI Number
1760569305
Provider Name
Paul Thomas Leary
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
17 Kiel Ave, Kinnelon, NJ 07405-1706
Phone Number
973-838-1270
Fax Number
973-838-8074
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
November 1, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Kiel Ave
Kinnelon, NJ 07405-1706
Zip
07405-1706
Phone Number
973-838-1270
Fax Number
973-838-8074
Kinnelon, NJ 07405Get directions →

Provider Business Mailing Address Details

Address
17 Kiel Ave
Kinnelon, NJ 07405-1706
City
Kinnelon
State
NJ
Zip
07405-1706
Phone Number
973-838-1270
Fax Number
973-838-8074

License Information

License Number
18732
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. Paul T Leary, DMD?

The NPI number of Dr. Paul T Leary, DMD is 1760569305. It was assigned on November 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Paul T Leary, DMD?

Dr. Paul T Leary, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 18732.

Where does Dr. Paul T Leary, DMD practice?

The practice location is 17 Kiel Ave, Kinnelon, NJ 07405-1706. The office can be reached at 973-838-1270 (phone) or 973-838-8074 (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 1760569305 directly on the NPPES registry website.

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