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:
Authorized official contact:
Name: Mancino, Anthony Joseph Doctor of Dental Surgery (DDS)
Phone: (732) 556-9600
Health care specialties
Specialty | Code | License # | 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 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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