Charles Edward Nocco, DDS

Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Elmer, NJ

NPI 1760477186 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1760477186
Entity type
Individual (NPI type 1)
Primary specialty
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
License
22D100832300 (NJ)
Practice address
440 Front St
Elmer, NJ 08318-2177
Phone
(856) 358-8303
Fax
(856) 358-9145
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
22D100832300NJMDOral and Maxillofacial Surgery (Dentist)
DSO16237LPAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Alon Dental Associates, P.a. Oral and Maxillofacial Surgery Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22D100832300 NJ Yes
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DSO16237L PA

Addresses

Primary practice location

440 Front St
Elmer, NJ 08318-2177

Mailing address

PO Box 617
Elmer, NJ 08318-0617
Phone (856) 858-8303

Other providers in Elmer, NJ

All providers in Elmer, NJ · Oral and Maxillofacial Surgery (Dentist) in New Jersey

Sources for this page

Verify at the official NPI Registry.