Healthcare Provider Details

I. General information

NPI: 1972647337
Provider Name (Legal Business Name): JOSEPH M DALBON DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1019 BLOOMFIELD AVE
WEST CALDWELL NJ
07006-7140
US

IV. Provider business mailing address

103 JORDAN RD
ROCKAWAY NJ
07866-2212
US

V. Phone/Fax

Practice location:
  • Phone: 973-244-2424
  • Fax: 973-244-0007
Mailing address:
  • Phone: 973-244-2424
  • Fax: 973-244-0007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License NumberD 18412
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: