Active NPIIndividual provider

Dr. Teresa L Destefano, DMD

Dentist, General Practice in Raritan, New Jersey

NPI Number1902956782
Practice location
1130 US Highway 202, Raritan, NJ 08869-1490
Fax
908-722-8499
Last updated
July 8, 2007

Teresa Louise Destefano is a Dentist, General Practice based in Raritan, NJ. Teresa Louise Destefano practices in Raritan, NJ and has the professional credentials of DMD. The NPI Number for Teresa Louise Destefano is 1902956782 and holds a License No. DI16957 (NJ). The current practice location address for Teresa Louise Destefano is 1130 US Highway 202, Raritan, NJ 08869-1490 and can be reached out via phone at 908-722-8256 and via fax at 908-722-8499.

Provider Profile Details

NPI Number
1902956782
Provider Name
Teresa Louise Destefano
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1130 US Highway 202, Raritan, NJ 08869-1490
Phone Number
908-722-8256
Fax Number
908-722-8499
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
January 12, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1130 US Highway 202
Raritan, NJ 08869-1490
Zip
08869-1490
Phone Number
908-722-8256
Fax Number
908-722-8499
Raritan, NJ 08869Get directions →

Provider Business Mailing Address Details

Address
1130 US Highway 202
Raritan, NJ 08869-1490
City
Raritan
State
NJ
Zip
08869-1490
Phone Number
908-722-8256
Fax Number
908-722-8499

License Information

License Number
DI16957
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. Teresa L Destefano, DMD?

The NPI number of Dr. Teresa L Destefano, DMD is 1902956782. It was assigned on January 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Teresa L Destefano, DMD?

Dr. Teresa L Destefano, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI16957.

Where does Dr. Teresa L Destefano, DMD practice?

The practice location is 1130 US Highway 202, Raritan, NJ 08869-1490. The office can be reached at 908-722-8256 (phone) or 908-722-8499 (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 1902956782 directly on the NPPES registry website.

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