NPI 1003076589

Dominic Pisano, DMD

Practitioner General Practice Dentistry Whiting, NJ

Practice location

Address: 70 Lacey Rd, Whiting, NJ 08759-2931
Phone: (732) 350-7999
Fax: (732) 350-7961

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 22DI009476 (NJ)

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Registry record

NPI: 1003076589
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2008
Record last updated: 16 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.