NPI 1134201809

John William Vitale, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Toms River, NJ

Practice location

Address: 388 Lakehurst Rd, Toms River, NJ 08755-7340
Phone: (732) 240-6616

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 22DI01153300 (NJ)

Other Oral & Maxillofacial Surgery providers in New Jersey →

Registry record

NPI: 1134201809
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Oct 2006
Record last updated: 13 Dec 2007

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.