Peter A. Defazio, DMD

General Practice Dentistry · Long Branch, NJ

Individual Active NPI

NPI number 1770614331

Practice location

279 3rd Ave
Suite 303
Long Branch, NJ 07740-6205
Phone
(732) 222-1533
Fax
(732) 222-7715

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NPI record

NPI
1770614331
Entity type
Individual (Type 1)
Enumeration date
March 7, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 17239 NJ

About Dr. Defazio

Peter A. Defazio, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 279 3rd Ave, Suite 303, Long Branch, NJ 07740-6205. The NPI number 1770614331 was assigned on March 7, 2007 and the record was last updated on July 8, 2007.

Dr. Defazio lists a license in the registry: #17239 (NJ) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter A. Defazio, DMD?

The NPI number is 1770614331.

What is the phone number of Dr. Defazio?

The phone number listed for the practice location is (732) 222-1533.

Where is Dr. Defazio located?

279 3rd Ave, Suite 303, Long Branch, NJ 07740-6205.

What is the taxonomy code for Dr. Defazio?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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