Healthcare Provider Details

I. General information

NPI: 1942406251
Provider Name (Legal Business Name): FRANK JOHN GALTIERI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

163 ENGLE ST BLDG. 2
ENGLEWOOD NJ
07631-2535
US

IV. Provider business mailing address

163 ENGLE ST BLDG. 2
ENGLEWOOD NJ
07631-2535
US

V. Phone/Fax

Practice location:
  • Phone: 201-568-2532
  • Fax: 201-568-3810
Mailing address:
  • Phone: 201-568-2532
  • Fax: 201-568-3810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDI15747
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: