VINCENT MASTRONARDI - NPI 1699894386 - Dentist in West Orange, NJ

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Vincent Mastronardi NPPES

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

VINCENT MASTRONARDI (NPI 1699894386) is an individual general practice provider in West Orange, New Jersey, licensed in New Jersey (018217) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1699894386

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameVINCENT MASTRONARDI

Location Address769 NORTHFIELD AVE, SUITE 205West Orange, NJ 07052-1198

Mailing Address769 Northfield Ave, Suite 205West Orange, NJ 07052-1198 · (973) 669-1600 · Fax (973) 669-2750

Phone(973) 669-1600

Fax(973) 669-2750

Sole ProprietorYes

Enumeration DateMarch 27, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1699894386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NJ · 018217

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

769 NORTHFIELD AVE, West Orange, NJ 07052

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