# DR JOHN P DICAMILLO PA

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

## Provider details

- **NPI number:** 1225152937
- **Authorized official:** DR. JOHN PHILIP DICAMILLO DDS (PRESIDENT)
- **Authorized official phone:** (201) 939-0549

## Contact information

- **Practice address:** 20 PARK AVENUE, SUITE 2A, LYNDHURST, NJ 07071
- **Practice address phone:** (201) 939-0549
- **Practice address fax:** (201) 939-2470
- **Mailing address:** 20 PARK AVENUE, SUITE 2A, LYNDHURST, NJ 07071
- **Mailing address phone:** (201) 939-0549
- **Mailing address fax:** (201) 939-2470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI01408700 | NJ | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 08/22/2020