Healthcare Provider Details

I. General information

NPI: 1649357476
Provider Name (Legal Business Name): ARTHUR CALVANI JR. DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 BRIDGE ST BUILDING E
METUCHEN NJ
08840-2291
US

IV. Provider business mailing address

223 BRIDGE ST BUILDING E
METUCHEN NJ
08840-2291
US

V. Phone/Fax

Practice location:
  • Phone: 732-516-0052
  • Fax: 732-516-0054
Mailing address:
  • Phone: 732-516-0052
  • Fax: 732-516-0054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number22DI01870800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: