MEDICARE: DR. JAMES C DIMARINO DMD

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	22DI0997700	NJ

General Provider Information

NPI Number	:	1649388778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES C DIMARINO DMD

Provider Business Mailing Address
First Line	:	303 ALDER LN
Second Line	:
City	:	OCEAN CITY
State	:	NJ
Zip	:	08226-1858
Country	:	US
Telephone Number	:	856-981-3727
Fax Number	:

Provider Business Practice Location Address
First Line	:	5429 HARDING HWY STE 101
Second Line	:
City	:	MAYS LANDING
State	:	NJ
Zip	:	08330-2263
Country	:	US
Telephone Number	:	856-512-0202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	02/11/2020

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