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DR. DANIEL E DISTASI D.D.S.
NPI 1104910942
Dentist - Periodontics in Westwood, NJ

Active since October 03, 2006
700 BROADWAY STE 64, WESTWOOD, NJ 07675(201) 666-1300(201) 666-2055 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Daniel E Distasi D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANIEL E DISTASI D.D.S. (NPI 1104910942) is an individual periodontics provider in Westwood, New Jersey, licensed in New Jersey (22DI01442602) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1104910942
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. DANIEL E DISTASICredential: D.D.S.
Location Address700 BROADWAY STE 64Westwood, NJ 07675-1674
Mailing Address200 W 57th St Ste 410New York, NY 10019-3211
Phone(201) 666-1300
Fax(201) 666-2055
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104910942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NJ · 22DI01442602
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
700 BROADWAY STE 64, Westwood, NJ 07675
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROADWAY DENTAL ASSOCIATES, P.A.
Dentist (General Practice)
700 BROADWAY STE 64
WESTWOOD, NJ 07675
Bergen County (201) 666-1300
DR. LINDA DIANE PAULETTE DE LUCA DDS
Dentist
700 BROADWAY STE 64
WESTWOOD, NJ 07675
Bergen County (201) 666-1300
DR. RALPH J TERRACE D.M.D.
Dentist
700 BROADWAY STE 64
WESTWOOD, NJ 07675
Bergen County (201) 666-1300
DR. ALAN A ZARAFSHAR DDS
Dentist
700 BROADWAY STE 64
WESTWOOD, NJ 07675
Bergen County (201) 666-1300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Distasi's NPI number?

The NPI number for Daniel Distasi is 1104910942. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Daniel Distasi located?

Daniel Distasi practices at 700 Broadway Ste 64, Westwood, NJ 07675. The listed phone number is (201) 666-1300.

What is Daniel Distasi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Daniel Distasi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.