Michael Combs
Individual provider Active NPI Dentist · Absecon, NJ
NPI 1740690189 · NPPES record last updated May 12, 2015
Key facts
- NPI
- 1740690189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 22DI02578900 (NJ)
- Practice address
- 49 N Shore Rd
Absecon, NJ 08201-2147 - Phone
- (609) 204-0909
- NPI assigned
- May 7, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 30, 2015 through Dec 30, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02578900 | NJ | MD | Dentist |
| 22DI02578901 | NJ | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02578901 | NJ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 22DI02578900 | NJ | Yes |
Addresses
Primary practice location
49 N Shore Rd
Absecon, NJ 08201-2147
Mailing address
49 N Shore Rd
Absecon, NJ 08201-2147
Other providers in Absecon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.