Michael Joseph Connolly in Fair Haven - Dentist

Michael Joseph Connolly - NPI 1629163456

Michael Joseph Connolly is a Dentist in Fair Haven, New Jersey. Michael Joseph Connolly practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael Joseph Connolly is 1629163456. The last update date is 2007-07-08.

Michael Joseph Connolly's current location address is 393a River Rd, Fair Haven, New Jersey. You can contact this provider via phone number 7328428014 and fax number 7328426551. The mailing address for Michael Joseph Connolly is 393a River Rd, Fair Haven, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Joseph Connolly
Address 393a River Rd, Fair Haven, New Jersey
Phone Number 7328428014
Fax Number 7328426551
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1629163456
Provider Enumeration Date 2006-10-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 393a River Rd
City Fair Haven
State New Jersey (NJ)
Post Code 77043029
Phone Number 7328428014
Fax Number 7328426551

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 22DI01135100
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Michael Joseph Connolly

What is the unique provider identifier assigned to Michael Joseph Connolly?

The Michael Joseph Connolly has been issued the NPI (National Provider Identifier) 1629163456 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Michael Joseph Connolly's physical address?

The Michael Joseph Connolly is physically located at 393A River Rd, in the city of Fair Haven, NJ, with the postal code 77043029.

What is the Michael Joseph Connolly's specialty and taxonomy code?

The Michael Joseph Connolly's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did the Michael Joseph Connolly receive its 1629163456 assignment from the Centers for Medicare & Medicaid Services?

The Michael Joseph Connolly was assigned its 1629163456 by the Centers for Medicare & Medicaid Services on 2006-10-04.

As of what date was the information regarding Michael Joseph Connolly, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michael Joseph Connolly, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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