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DR. EDMUND RICHARD PROCTOR JR. DDS
NPI 1144350430
Dentist - Pediatric Dentistry in Clinton, NJ

Active since March 06, 2007
12 MOEBUS PLACE, CLINTON, NJ 08809(908) 713-6677(908) 713-6120 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. Edmund Richard Proctor Jr. Dds NPPES

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

DR. EDMUND RICHARD PROCTOR JR. DDS (NPI 1144350430) is an individual pediatric dentistry provider in Clinton, New Jersey, licensed in New Jersey (D1013938) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1144350430
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. EDMUND RICHARD PROCTOR JR.Credential: DDS
Location Address12 MOEBUS PLACEClinton, NJ 08809-1023
Mailing Address129 Monmouth RoadElizabeth, NJ 07208 · (908) 527-6368
Phone(908) 713-6677
Fax(908) 713-6120
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144350430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NJ · D1013938
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
12 MOEBUS PLACE, Clinton, NJ 08809
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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 Edmund Proctor's NPI number?

The NPI number for Edmund Proctor is 1144350430. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Edmund Proctor located?

Edmund Proctor practices at 12 Moebus Place, Clinton, NJ 08809. The listed phone number is (908) 713-6677.

What is Edmund Proctor's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Edmund Proctor 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.