Richard U Mascera, Jr., DDS
Individual provider Active NPI Dentist · Upper Montclair, NJ
NPI 1386845261 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386845261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 14162 (NJ)
- Practice address
- 286 Park St
Upper Montclair, NJ 07043-1733 - Phone
- (973) 744-7662
- NPI assigned
- May 30, 2007
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14162 | NJ | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14162 | NJ | Yes |
Addresses
Primary practice location
286 Park St
Upper Montclair, NJ 07043-1733
Mailing address
286 Park St
Upper Montclair, NJ 07043-1733
Other providers in Upper Montclair, NJ
- William R Lutz Jr.
- Thomas Alan Malek-Jones
- Kathleen Mary Mangano
- Dorothy J Margolskee
- Julie Marshall
- Joseph Mason III
- Shreya Mehta
- Maureen G. Mellon
- Alexis Ehrlich Menken
- Mermini Counseling, LLC
All providers in Upper Montclair, NJ · Dentist 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.