David J Garbolino, DMD
Individual provider Active NPI General Practice Dentistry · Wall, NJ
NPI 1750546263 · NPPES record last updated Jul 23, 2008
Key facts
- NPI
- 1750546263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 22DI01405300 (NJ)
- Practice address
- 1560 Highway 138
Wall, NJ 07719-3743 - Phone
- (732) 681-4313
- Fax
- (732) 681-3311
- NPI assigned
- Jul 23, 2008
- 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 |
|---|---|---|---|
| 22DI01405300 | NJ | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI01405300 | NJ | Yes |
Addresses
Primary practice location
1560 Highway 138
Wall, NJ 07719-3743
Mailing address
1560 Highway 138
Wall, NJ 07719-3743
Phone (732) 681-4313
Other providers in Wall, NJ
- Jennifer A Flatley
- Forzani Family Chiropractic II Inc
- Lisa Forzani
- Hubert Roman Franke
- Franklin J. Frasco, M.D. PA
- Anthony Giallombardo Jr.
- Gib Surgical Center, LLC
- Debra Susan Gluck
- Andrea Grandinetti
- Guided Path Counseling
All providers in Wall, 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 23, 2008. 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.