# RICHARD CHAMPAGNE DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164993259
- **Authorized official:** LISA ANN PALASCIANO (FINANCIAL COORDINHATOR)
- **Authorized official phone:** (732) 972-0918

## Contact information

- **Practice address:** 480 ROUTE 79, MORGANVILLE, NJ 07751-4090
- **Practice address phone:** (732) 972-0918
- **Practice address fax:** (732) 972-0044
- **Mailing address:** 480 ROUTE 79, MORGANVILLE, NJ 07751-4090
- **Mailing address phone:** (732) 972-0918
- **Mailing address fax:** (732) 972-0044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2018
- **Last updated:** 12/16/2018