Dr. Peter A Defazio, DMD
Dentist, General Practice in Long Branch, New Jersey
1770614331- Practice location
- 279 3RD Ave, Suite 303, Long Branch, NJ 07740-6205
- Phone
- 732-222-1533
- Fax
- 732-222-7715
- Last updated
- July 8, 2007
Peter A Defazio is a Dentist, General Practice based in Long Branch, NJ. Peter A Defazio practices in Long Branch, NJ and has the professional credentials of DMD. The NPI Number for Peter A Defazio is 1770614331 and holds a License No. 17239 (NJ). The current practice location address for Peter A Defazio is 279 3RD Ave, Suite 303, Long Branch, NJ 07740-6205 and can be reached out via phone at 732-222-1533 and via fax at 732-222-7715.
Provider Profile Details
- NPI Number
- 1770614331
- Provider Name
- Peter A Defazio
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 279 3RD Ave, Suite 303, Long Branch, NJ 07740-6205
- Phone Number
- 732-222-1533
- Fax Number
- 732-222-7715
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Other Names
- Mrs. Tracey Defazio (Other Name)
- Provider Enumeration Date
- March 7, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 279 3RD Ave
Suite 303
Long Branch, NJ 07740-6205 - City
- Long Branch
- State
- New Jersey
- Zip
- 07740-6205
- Phone Number
- 732-222-1533
- Fax Number
- 732-222-7715
Provider Business Mailing Address Details
- Address
- 279 3RD Ave
Suite 303
Long Branch, NJ 07740-6205 - City
- Long Branch
- State
- NJ
- Zip
- 07740-6205
- Phone Number
- 732-222-1533
- Fax Number
- 732-222-7715
License Information
- License Number
- 17239
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Long Branch, NJ
View all Dentist, General Practice providers in Long Branch →- Amarpreet A Suri, DDSDentist, General Practice · NPI 1669902771
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- Dr. Anjana Gowda, DDSDentist, General Practice · NPI 1073689725
- Dr. Avraham Assouline, DDSDentist, General Practice · NPI 1366290579
- Dr. Basima Abdelsalam, DMDDentist, General Practice · NPI 1790532547
- Dr. Christopher Cermenello, DDSDentist, General Practice · NPI 1518453604
Frequently Asked Questions
What is the NPI number of Dr. Peter A Defazio, DMD?
The NPI number of Dr. Peter A Defazio, DMD is 1770614331. It was assigned on March 7, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Peter A Defazio, DMD?
Dr. Peter A Defazio, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 17239.
Where does Dr. Peter A Defazio, DMD practice?
The practice location is 279 3RD Ave, Suite 303, Long Branch, NJ 07740-6205. The office can be reached at 732-222-1533 (phone) or 732-222-7715 (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 1770614331 directly on the NPPES registry website.