Individual
DR. JONATHAN TYLER VACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9 POST RD STE M1A, OAKLAND, NJ 07436-1615
(201) 337-6135
Mailing address
9 POST RD STE M1A, OAKLAND, NJ 07436-1615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02988300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
02/05/2026
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