Fuentes, Peter F

Fuentes, Peter F is an individual health care provider with primary practice located at 3916 Bergenline Ave 2Nd Floor, Union City NJ 07087-1612. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fuentes, Peter F can be contacted via phone (201) 865-5150.

Contact Information

Primary practice address
3916 Bergenline Ave 2Nd Floor Union City NJ 07087-1612
Phone: (201) 865-5150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DI22907 New Jersey

Profile Details

NPI number 1538214168
LBN Legal business name Fuentes, Peter F
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Apr 25th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538214168 NPPES
New Jersey MEDICAID 0154831

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