MEDICARE: DR. DAVID F PALADINES-GAIBOR 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	122300000X	Dentist	22DI02727600	NJ

General Provider Information

NPI Number	:	1588142319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID F PALADINES-GAIBOR DMD

Provider Business Mailing Address
First Line	:	567 70TH ST
Second Line	:
City	:	GUTTENBERG
State	:	NJ
Zip	:	07093-1829
Country	:	US
Telephone Number	:	201-367-8539
Fax Number	:

Provider Business Practice Location Address
First Line	:	6321 BERGENLINE AVE
Second Line	:	FL 2
City	:	WEST NEW YORK
State	:	NJ
Zip	:	07093-1606
Country	:	US
Telephone Number	:	201-402-5094
Fax Number	:	201-402-5091

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

Provider Enumeration Date	:	08/02/2018
Last Update Date	:	09/11/2025

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