# GAETANO G SPINNATO DMD MD LLC

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

## Provider details

- **NPI number:** 1639409782
- **Authorized official:** DR. GAETANO G SPINNATO DMD MD LLC (OWNER)
- **Authorized official phone:** (201) 858-1400

## Contact information

- **Practice address:** 925 BROADWAY, BAYONNE, NJ 07002
- **Practice address phone:** (201) 858-1400
- **Practice address fax:** (201) 858-0503
- **Mailing address:** 925 BROADWAY, BAYONNE, NJ 07002
- **Mailing address phone:** (201) 858-1400
- **Mailing address fax:** (201) 858-0503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 8521 | NJ | Yes |

## Other

- **Enumeration date:** 01/12/2010
- **Last updated:** 05/17/2010