Kukucka, John R

Kukucka, John R is an sole proprietor health care provider with primary practice located at 2605 Highway 35 , Manasquan NJ 08736-2603. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Kukucka, John R can be contacted via phone (732) 223-6000.

Contact Information

Primary practice address
2605 Highway 35 Manasquan NJ 08736-2603
Phone: (732) 223-6000
Fax: (732) 223-6129
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 22DI01350700 New Jersey

Profile Details

NPI number 1619030822
LBN Legal business name Kukucka, John R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 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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