Healthcare Provider Details

I. General information

NPI: 1376563072
Provider Name (Legal Business Name): DAVID M BOOK DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

272 US HIGHWAY 206 SUITE C8
FLANDERS NJ
07836-9081
US

IV. Provider business mailing address

272 US HIGHWAY 206 SUITE C8
FLANDERS NJ
07836-9081
US

V. Phone/Fax

Practice location:
  • Phone: 973-598-1161
  • Fax: 973-598-1160
Mailing address:
  • Phone: 973-598-1161
  • Fax: 973-598-1160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDI019810
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: