MEDICARE: DR. DAVID M MAYER 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	22DI01365300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457341232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID M MAYER DMD

Provider Business Mailing Address
First Line	:	82 PARK AVE
Second Line	:
City	:	PATERSON
State	:	NJ
Zip	:	07501-2223
Country	:	US
Telephone Number	:	973-881-8568
Fax Number	:	973-881-9333

Provider Business Practice Location Address
First Line	:	82 PARK AVE
Second Line	:
City	:	PATERSON
State	:	NJ
Zip	:	07501-2223
Country	:	US
Telephone Number	:	973-881-8568
Fax Number	:	973-881-9333

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	07/09/2007

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1144246349 — DAVID M MAYER DMD
Practice Location Address:

82 PARK AVE
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75 SPRUCE ST
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07501-1720

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1427279850 — DR. FAIZUL T KHAN DDS
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1992786826 — DR. NATHALIE SCARPA DMD
Practice Location Address:

21 MARKET ST
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