Rick Dadouris
Individual provider Active NPI General Practice Dentistry · Clinton, NJ
NPI 1003944786 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003944786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DI15764 (NJ)
- Practice address
- 12 Moebus PL
Clinton, NJ 08809-1023 - Phone
- (908) 730-6432
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI15764 | NJ | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DI15764 | NJ | Yes |
Addresses
Primary practice location
12 Moebus PL
Clinton, NJ 08809-1023
Mailing address
12 Moebus PL
Clinton, NJ 08809-1023
Other providers in Clinton, NJ
- Salvador Fernandez Coquia
- Courtyard Adult Day Center LLC
- D. a. Yeske, Inc.
- James Dadouris
- John William Dadouris
- Frederick Robert Darcy
- Susan De Los Santos
- Steven James Decasperis
- Daniel Alejandrino Delara
- Alexandra Destefano
All providers in Clinton, NJ · General Practice Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.