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COMPREHENSIVE & COSMETIC & GENERAL DISTISTRY
NPI 1104930668
Dentist in Wall Township, NJ

Active since August 19, 2006
3350 STATE ROUTE 138, STE 127, WALL TOWNSHIP, NJ 07719(732) 556-9600(732) 556-9601 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Comprehensive & Cosmetic & General Dististry NPPES

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

COMPREHENSIVE & COSMETIC & GENERAL DISTISTRY (NPI 1104930668) is a healthcare organization registered as a dentist in Wall Township, New Jersey and active in the NPI registry since August 2006. The organization lists Anthony Joseph Mancino, Owner,president, as its authorized official.

NPPES Registry Identity

NPI1104930668
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCOMPREHENSIVE & COSMETIC & GENERAL DISTISTRY
Location Address3350 STATE ROUTE 138, STE 127Wall Township, NJ 07719-9693
Mailing Address3350 State Route 138, Ste 127Wall Township, NJ 07719-9693 · (732) 556-9600 · Fax (732) 556-9601
Phone(732) 556-9600
Fax(732) 556-9601
Organization SubpartNo
Authorized OfficialAnthony Joseph MancinoOwner,president · (732) 556-9600
Enumeration DateAugust 19, 2006
Last NPPES UpdateMay 6, 2015
✔ NPI 1104930668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NJ · 11320
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3350 STATE ROUTE 138, Wall Township, NJ 07719
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Other Identifiers 2

Other90730-00-4NJ · Nj Employer Id
Other11320NJ · Ins Co's

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

DR. MATTHEW WARREN SHEPROW PH.D.
Psychologist (Clinical)
3350 STATE ROUTE 138, BLDG 1, SUITE 117
WALL TOWNSHIP, NJ 07719
Monmouth County (732) 681-2345
CHILD NEUROLOGY ASSOCIATES, P.A.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
3350 STATE ROUTE 138, BLDG. 1, SUITE 117
WALL TOWNSHIP, NJ 07719
Monmouth County (732) 556-0200
MARSHA ROSENSTEIN LCSW
Social Worker (Clinical)
3350 STATE ROUTE 138, AUTUMN RIDGE BUILDING 2, SUITE 128
WALL TOWNSHIP, NJ 07719
Monmouth County (732) 583-7987
DR. LEILA SHARON GRAYSON MD
Surgery
3350 STATE ROUTE 138, SUITE 225
WALL TOWNSHIP, NJ 07719
Monmouth County (732) 681-0001
DR. CYNTHIA HOPE BARABAS M.D.
Pediatrics
3350 STATE ROUTE 138, SUITE 117
WALL TOWNSHIP, NJ 07719
Monmouth County (732) 280-3334

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 Comprehensive & Cosmetic & General Dististry's NPI number?

The NPI number for Comprehensive & Cosmetic & General Dististry is 1104930668. It was assigned to this organization in the NPPES registry on August 19, 2006.

Where is Comprehensive & Cosmetic & General Dististry located?

Comprehensive & Cosmetic & General Dististry is located at 3350 State Route 138 Ste 127, Wall Township, NJ 07719. The listed phone number is (732) 556-9600.

What is Comprehensive & Cosmetic & General Dististry's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Comprehensive & Cosmetic & General Dististry was last updated on May 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.