Distefano, Thomas V

Distefano, Thomas V is an sole proprietor health care provider with primary practice located at 25 Mountainview Blvd Ste 205 , Basking Ridge NJ 07920-3453. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Distefano, Thomas V can be contacted via phone (908) 604-0200.

Contact Information

Primary practice address
25 Mountainview Blvd Ste 205 Basking Ridge NJ 07920-3453
Phone: (908) 604-0200
Fax: (908) 686-6301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22DI01562000 New Jersey

Profile Details

NPI number 1538327200
LBN Legal business name Distefano, Thomas V
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2008
Last updated Aug 25th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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