Deasy, Michael J

Deasy, Michael J is an individual health care provider with primary practice located at 110 Bergen St , Newark NJ 07103-2495. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Deasy, Michael J can be contacted via phone (973) 972-4639.

Contact Information

Primary practice address
110 Bergen St Newark NJ 07103-2495
Phone: (973) 972-4639
Fax: (973) 972-3884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 10084 New Jersey

Profile Details

NPI number 1245292945
LBN Legal business name Deasy, Michael J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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