Active NPI
William J Demarco, DMD
- Dentist
- Tuckerton, NJ
National Provider Identifier
1205992104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DI21218
- Practice address
- 345 East Main St
Ste 2805
Tuckerton, NJ 08087 - Phone
- (609) 296-8700
- Fax
- (609) 294-4770
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DI21218 | NJ | Primary |
Addresses
Primary practice location
345 East Main St
Ste 2805
Tuckerton, NJ 08087
Mailing address
345 East Main St
Ste 2805
Tuckerton, NJ 08087
Phone (609) 296-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI21218 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1205992104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 EAST MAIN ST",
"address_2": "STE 2805",
"city": "TUCKERTON",
"state": "NJ",
"postal_code": "08087",
"telephone_number": "609-296-8700",
"fax_number": "609-294-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 EAST MAIN ST",
"address_2": "STE 2805",
"city": "TUCKERTON",
"state": "NJ",
"postal_code": "08087",
"telephone_number": "609-296-8700",
"fax_number": "609-294-4770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARCO",
"first_name": "WILLIAM",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2025-08-06",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "DI21218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuckerton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.