Anthony G & Vincent Devincentis

Organization Active NPI General Practice Dentistry · Bloomfield, NJ

NPI 1659576643 · NPPES record last updated Jun 24, 2008

Key facts

NPI
1659576643
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
22DIO1738000 (NJ)
Legal business name
ANTHONY G & VINCENT DEVINCENTIS
Practice address
1218 Broad St
Bloomfield, NJ 07003-3031
Phone
(973) 338-3700
Fax
(973) 338-7560
NPI assigned
Jun 19, 2007
Organization subpart
No

Authorized official

Name
Dr. Vincent Paul Devincentis
Title
Partner
Phone
(973) 338-3700

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1218 Broad St
Bloomfield, NJ 07003
Phone (973) 338-3700

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 22DIO1738000 NJ Yes

Addresses

Primary practice location

1218 Broad St
Bloomfield, NJ 07003-3031

Mailing address

1218 Broad St
Bloomfield, NJ 07003-3031
Phone (973) 338-3700

Other names

  • Brookdale Dental Group Doing business as

Other providers in Bloomfield, NJ

All providers in Bloomfield, NJ · General Practice Dentistry in New Jersey

Sources for this page

Verify at the official NPI Registry.