# ANTHONY G & VINCENT DEVINCENTIS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brookdale Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659576643
- **Authorized official:** DR. VINCENT PAUL DEVINCENTIS (PARTNER)
- **Authorized official phone:** (973) 338-3700

## Contact information

- **Practice address:** 1218 BROAD ST, BLOOMFIELD, NJ 07003-3031
- **Practice address phone:** (973) 338-3700
- **Practice address fax:** (973) 338-7560
- **Mailing address:** 1218 BROAD ST, BLOOMFIELD, NJ 07003-3031
- **Mailing address phone:** (973) 338-3700
- **Mailing address fax:** (973) 338-7560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DIO1738000 | NJ | Yes |

## Other

- **Enumeration date:** 06/19/2007
- **Last updated:** 06/24/2008