Active NPIIndividual providerSole proprietor

Dr. Mark Defonte, DMD

Dentist, General Practice in Lincoln Park, New Jersey

NPI Number1861542169
Practice location
59 Beaverbrook RD, Suite 301, Lincoln Park, NJ 07035-1794
Fax
973-686-0770
Last updated
July 8, 2007

Mark Defonte is a Dentist, General Practice based in Lincoln Park, NJ. Mark Defonte practices in Lincoln Park, NJ and has the professional credentials of DMD. The NPI Number for Mark Defonte is 1861542169 and holds a License No. 17918 (NJ). The current practice location address for Mark Defonte is 59 Beaverbrook RD, Suite 301, Lincoln Park, NJ 07035-1794 and can be reached out via phone at 973-686-0060 and via fax at 973-686-0770.

Provider Profile Details

NPI Number
1861542169
Provider Name
Mark Defonte
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
59 Beaverbrook RD, Suite 301, Lincoln Park, NJ 07035-1794
Phone Number
973-686-0060
Fax Number
973-686-0770
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
January 11, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
59 Beaverbrook RD
Suite 301
Lincoln Park, NJ 07035-1794
Zip
07035-1794
Phone Number
973-686-0060
Fax Number
973-686-0770
Lincoln Park, NJ 07035Get directions →

Provider Business Mailing Address Details

Address
59 Beaverbrook RD
Suite 301
Lincoln Park, NJ 07035-1794
City
Lincoln Park
State
NJ
Zip
07035-1794
Phone Number
973-686-0060
Fax Number
973-686-0770

License Information

License Number
17918
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. Mark Defonte, DMD?

The NPI number of Dr. Mark Defonte, DMD is 1861542169. It was assigned on January 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark Defonte, DMD?

Dr. Mark Defonte, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 17918.

Where does Dr. Mark Defonte, DMD practice?

The practice location is 59 Beaverbrook RD, Suite 301, Lincoln Park, NJ 07035-1794. The office can be reached at 973-686-0060 (phone) or 973-686-0770 (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 1861542169 directly on the NPPES registry website.

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