Zoey Gail Dimarco, DMD
Individual provider Active NPI Dentist · Dover, NJ
NPI 1689733388 · NPPES record last updated Mar 1, 2012
Key facts
- NPI
- 1689733388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 22DI02213904 (NJ)
- Practice address
- 17 S Warren St
Dover, NJ 07801-4506 - Phone
- (873) 328-3344
- Fax
- (973) 328-6817
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|
| 22DI02213904 | NJ | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02213904 | NJ | Yes |
Addresses
Primary practice location
17 S Warren St
Dover, NJ 07801-4506
Mailing address
57 S Lakeside Ave
Lake Hopatcong, NJ 07849-1651
Phone (973) 886-2730
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0038750 | Medicaid | NJ |
Other providers in Dover, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2012. 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.