1538470794 NPI number — JOHN VECCHIONE DDS

Table of content: (NPI 1538470794)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538470794 NPI number — JOHN VECCHIONE DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOHN VECCHIONE DDS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538470794
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/23/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
98 US HIGHWAY 46
Provider Second Line Business Mailing Address:
SUITE 3
Provider Business Mailing Address City Name:
BUDD LAKE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07828
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-691-8400
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
265 BALDWIN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARSIPPANY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07054
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-602-2763
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/23/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VECCHIONE
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
V
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
201-602-2763

Provider Taxonomy Codes

  • Taxonomy code: 1223S0112X , with the licence number:  DI22173 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)