Active NPIIndividual providerSole proprietor

Dr. Joachim M Provenzano, DMD

Dentist in Belvidere, New Jersey

NPI Number1942328562
Practice location
984 Brass Castle RD, Belvidere, NJ 07823-2752
Fax
—
Last updated
July 8, 2007

Joachim M Provenzano is a Dentist based in Belvidere, NJ. Joachim M Provenzano practices in Belvidere, NJ and has the professional credentials of DMD. The NPI Number for Joachim M Provenzano is 1942328562 and holds a License No. DI01812900 (NJ). The current practice location address for Joachim M Provenzano is 984 Brass Castle RD, Belvidere, NJ 07823-2752 and can be reached out via phone at 908-475-3641.

Provider Profile Details

NPI Number
1942328562
Provider Name
Joachim M Provenzano
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
984 Brass Castle RD, Belvidere, NJ 07823-2752
Phone Number
908-475-3641
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
March 26, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
984 Brass Castle RD
Belvidere, NJ 07823-2752
Zip
07823-2752
Phone Number
908-475-3641
Belvidere, NJ 07823Get directions →

Provider Business Mailing Address Details

Address
30 Wolf Hill Dr
Warren, NJ 07059-5327
City
Warren
State
NJ
Zip
07059-5327
Phone Number
908-580-0075

License Information

License Number
DI01812900
License State
NJ
Taxonomy
Dentist · 122300000X · 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. Joachim M Provenzano, DMD?

The NPI number of Dr. Joachim M Provenzano, DMD is 1942328562. It was assigned on March 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Joachim M Provenzano, DMD?

Dr. Joachim M Provenzano, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number DI01812900.

Where does Dr. Joachim M Provenzano, DMD practice?

The practice location is 984 Brass Castle RD, Belvidere, NJ 07823-2752. The office can be reached at 908-475-3641 (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 1942328562 directly on the NPPES registry website.

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