Comprehensive & Cosmetic & General Dististry

LBN: Comprehensive & Cosmetic & General Dististry
Comprehensive & Cosmetic & General Dististry is an health care organization with primary practice located at 3350 State Route 138 Ste 127, Wall Township NJ 07719-9693. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Comprehensive & Cosmetic & General Dististry can be contacted via phone (732) 556-9600, or through Mancino, Anthony Joseph via phone (732) 556-9600.

Contact Information

Primary practice address
3350 State Route 138 Ste 127 Wall Township NJ 07719-9693
Phone: (732) 556-9600
Fax: (732) 556-9601
Website:
Map and Directions
Authorized official contact:
Name: Mancino, Anthony Joseph Doctor of Dental Surgery (DDS)
Phone: (732) 556-9600

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 11320 New Jersey

Profile Details

NPI number 1104930668
LBN Legal business name Comprehensive & Cosmetic & General Dististry
DBA Doing business as
Authorized official Mancino, Anthony Joseph Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated May 6th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104930668 NPPES
New Jersey Other 11320 INS CO'S
New Jersey Other 90730-00-4 INS CO'S

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