Elliot Morton Joseph Brooks, D.D.S.
Individual provider Active NPI General Practice Dentistry · Northfield, NJ
NPI 1336202084 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1336202084
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 22DI00685901 (NJ)
- Practice address
- 1634 New Rd
Eastern Dental of Northfield
Northfield, NJ 08225-1108 - Phone
- (609) 677-1589
- Fax
- (609) 677-1593
- NPI assigned
- Dec 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI00685901 | NJ | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI00685901 | NJ | Yes |
Addresses
Primary practice location
1634 New Rd
Eastern Dental of Northfield
Northfield, NJ 08225-1108
Mailing address
1 Evans Rd
Egg Harbor TWP, NJ 08234-5963
Phone (609) 653-2242
Other providers in Northfield, NJ
- Jessica Bonner
- Julia Lee Bornmann
- Brian Bovio
- Boylan Counseling Services, LLC
- Kathleen Bradbury-Golas
- Suzannah Brothman-Leonard
- Martin A Brown
- Rodney C Brunson
- Erica Budd
- Seblewongel Bulcha Debosse
All providers in Northfield, 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.