MEDICARE: DRS. LATEMPA & TOUMANIOS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1043360712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS. LATEMPA & TOUMANIOS PC

Provider Business Mailing Address
First Line	:	35 FAIRVIEW AVE
Second Line	:
City	:	VERONA
State	:	NJ
Zip	:	07044-1341
Country	:	US
Telephone Number	:	973-239-4012
Fax Number	:	973-239-3600

Provider Business Practice Location Address
First Line	:	35 FAIRVIEW AVE
Second Line	:
City	:	VERONA
State	:	NJ
Zip	:	07044-1341
Country	:	US
Telephone Number	:	973-239-4012
Fax Number	:	973-239-3600

Authorized Official
Title or Position	:	CEO
Name	:	DR. ANTHONY JOSEPH LATEMPA
Credential	:	DMD
Telephone Number	:	973-239-4012

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	08/22/2020

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