Vincent C Noonan
Individual provider Active NPI General Practice Dentistry · North Brunswick, NJ
NPI 1013083633 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013083633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DIO08342 (NJ)
- Practice address
- 2003 US Highway 130 Ste C
North Brunswick, NJ 08902-4810 - Phone
- (732) 297-0549
- NPI assigned
- Nov 27, 2006
- 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 |
|---|---|---|---|
| DIO08342 | NJ | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DIO08342 | NJ | Yes |
Addresses
Primary practice location
2003 US Highway 130 Ste C
North Brunswick, NJ 08902-4810
Mailing address
2003 US Highway 130 Ste C
North Brunswick, NJ 08902-4810
Phone (732) 297-0549
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DIO08342 | Other | NJ | DENTAL LICENSE NUMBER |
Other providers in North Brunswick, NJ
- New Jersey Podiatric Physicians & Surgeons Group, LLC
- Nextgen Clinical Solutions Inc
- Nextstep Physical Therapy Services LLC
- Nima Care Supported Living LLP.
- Noble Health Care
- Akina Norment
- North Brunswick Chiropractic Limited Liability Company
- North Brunswick Dental & Specialty Group, LLC
- North Brunswick First Aid and Rescue Squad, Inc.
- North Brunswick Medical Associates
All providers in North Brunswick, 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.