MEDICARE: DR. MILAGROS J GATON-MUNOZ D.D.S

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	D20137	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760460547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MILAGROS J GATON-MUNOZ D.D.S

Provider Business Mailing Address
First Line	:	702 MCCORMICK DR
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-4338
Country	:	US
Telephone Number	:	201-207-8107
Fax Number	:	201-865-1556

Provider Business Practice Location Address
First Line	:	2713 BERGENLINE AVE
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-3706
Country	:	US
Telephone Number	:	201-865-1353
Fax Number	:	201-895-1556

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

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	07/08/2007

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