Healthcare Provider Details
I. General information
NPI: 1982630372
Provider Name (Legal Business Name): MORRONE & KAYE ORTHODONTICS P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
120 MADISON AVE SUITE F
MOUNT HOLLY NJ
08060-2055
US
IV. Provider business mailing address
120 MADISON AVE SUITE F
MOUNT HOLLY NJ
08060-2055
US
V. Phone/Fax
- Phone: 609-267-1221
- Fax: 609-267-6300
- Phone: 609-267-1221
- Fax: 609-267-6300
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223X0400X |
| Taxonomy | Orthodontics and Dentofacial Orthopedics Dentistry |
| License Number | 4013 |
| License Number State | NJ |
VIII. Authorized Official
Name: DR.
RICHARD
A.
KAYE
Title or Position: OWNER
Credential: D.D.S., M.S.D.
Phone: 856-234-4044