NPI 1831921147

Nicole Marie Stull, DENTALASSISTANT

Practitioner Dental Assistant Freehold, NJ

Practice location

Address: 505 Stillwells Corner Rd. Suite C1, Freehold, NJ 07728
Phone: (732) 780-3300
Fax: (732) 780-3301

Registered specialties (2)

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 22D102593103 (NJ)

Other Dental Assistant providers in New Jersey →

Dentist

Dental Providers Taxonomy 122300000X Licence 22DI02593103 (NJ)

Other Dentist providers in New Jersey →

Registry record

NPI: 1831921147
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Aug 2024
Record last updated: 27 Nov 2024

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.