Active NPIIndividual providerSole proprietor

Dr. Brian T Denichilo, DMD

Dentist, General Practice in Park Ridge, New Jersey

NPI Number1780787739
Practice location
136 Kinderkamack RD, Suite 1, Park Ridge, NJ 07656-1370
Fax
—
Last updated
July 8, 2007

Brian T Denichilo is a Dentist, General Practice based in Park Ridge, NJ. Brian T Denichilo practices in Park Ridge, NJ and has the professional credentials of DMD. The NPI Number for Brian T Denichilo is 1780787739 and holds a License No. D17859 (NJ). The current practice location address for Brian T Denichilo is 136 Kinderkamack RD, Suite 1, Park Ridge, NJ 07656-1370 and can be reached out via phone at 201-930-9370.

Provider Profile Details

NPI Number
1780787739
Provider Name
Brian T Denichilo
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
136 Kinderkamack RD, Suite 1, Park Ridge, NJ 07656-1370
Phone Number
201-930-9370
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
September 6, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
136 Kinderkamack RD
Suite 1
Park Ridge, NJ 07656-1370
Zip
07656-1370
Phone Number
201-930-9370
Park Ridge, NJ 07656Get directions →

Provider Business Mailing Address Details

Address
136 Kinderkamack RD
Park Ridge, NJ 07656-1370
City
Park Ridge
State
NJ
Zip
07656-1370
Phone Number
201-930-9370

License Information

License Number
D17859
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. Brian T Denichilo, DMD?

The NPI number of Dr. Brian T Denichilo, DMD is 1780787739. It was assigned on September 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Brian T Denichilo, DMD?

Dr. Brian T Denichilo, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number D17859.

Where does Dr. Brian T Denichilo, DMD practice?

The practice location is 136 Kinderkamack RD, Suite 1, Park Ridge, NJ 07656-1370. The office can be reached at 201-930-9370 (phone).

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 1780787739 directly on the NPPES registry website.

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