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NPI Code Detail

MEDICARE: DR. KURT NOTARNICOLA DDS

MEDICARE:  DR. KURT  NOTARNICOLA  DDS
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
11223S0112XOral and Maxillofacial Surgery (Dentist)DI21734NJ

General Provider Information

NPI Number : 1477518181
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KURT NOTARNICOLA DDS
Provider Business Mailing Address
First Line : 22 HOWARD BLVD
Second Line : SUITE 201
City : MOUNT ARLINGTON
State : NJ
Zip : 07856-1532
Country : US
Telephone Number : 973-601-0606
Fax Number : 973-601-1444
Provider Business Practice Location Address
First Line : 22 HOWARD BLVD
Second Line : SUITE 201
City : MOUNT ARLINGTON
State : NJ
Zip : 07856-1532
Country : US
Telephone Number : 973-601-0606
Fax Number : 973-601-1444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 09/08/2010

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Directions to “ DR. KURT NOTARNICOLA DDS” Practice Location

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