# MICHAEL J. FITZPATRICK, D.M.D., LLC

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

## Provider details

- **NPI number:** 1609916915
- **Authorized official:** MICHAEL JOSEPH FITZPATRICK DMD (SOLE PROPRIETOR)
- **Authorized official phone:** (609) 518-3232

## Contact information

- **Practice address:** 302 CREEK CROSSING BLVD, HAINESPORT, NJ 08036-2767
- **Practice address phone:** (609) 518-3232
- **Practice address fax:** (609) 518-7575
- **Mailing address:** 302 CREEK CROSSING BLVD, HAINESPORT, NJ 08036-2767
- **Mailing address phone:** (609) 518-3232
- **Mailing address fax:** (609) 518-7575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI01769400 | NJ | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 08/22/2020