MEDICARE: GEORGE A ROONEY III DMD CHRISTOPHER J ROONEY DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	22DI01071100	NJ

General Provider Information

NPI Number	:	1063563914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGE A ROONEY III DMD CHRISTOPHER J ROONEY DMD

Provider Business Mailing Address
First Line	:	719 N BEERS ST.
Second Line	:	SUITE 2C
City	:	HOLMDEL
State	:	NJ
Zip	:	07733-1523
Country	:	US
Telephone Number	:	732-264-5933
Fax Number	:	732-264-1451

Provider Business Practice Location Address
First Line	:	719 N BEERS ST.
Second Line	:	SUITE 2C
City	:	HOLMDEL
State	:	NJ
Zip	:	07733-1523
Country	:	US
Telephone Number	:	732-264-5933
Fax Number	:	732-264-1451

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. GEORGE AUGUSTINE ROONEY III
Credential	:	DMD
Telephone Number	:	732-264-5933

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	08/22/2020

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