Healthcare Provider Details

I. General information

NPI: 1033646765
Provider Name (Legal Business Name): LUKE JOSEPH ZAMBETTI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2017
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 LITTLETON RD STE 110
MORRIS PLAINS NJ
07950-2939
US

IV. Provider business mailing address

11 PINE ST APT 260
MONTCLAIR NJ
07042-4376
US

V. Phone/Fax

Practice location:
  • Phone: 973-400-5254
  • Fax: 973-400-5139
Mailing address:
  • Phone: 914-275-5298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number22DI02835000
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number22DI02835000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: