Organization
ANTHONY N DICESARE DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY NICHOLAS DICESARE DDS (PRESIDENT)
(732) 747-2888
Entity
Organization
Contact information
Practice address
240 HALF MILE ROAD, RED BANK, NJ 07701
(732) 747-2888
(732) 747-4357
Mailing address
240 HALF MILE ROAD, RED BANK, NJ 07701
(732) 747-2888
(732) 747-4357
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
0247531
NY
1223P0300X
Periodontics
Primary
22DI00812601
NJ
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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