MEDICARE: BARBARA DEANNE MARONPOT 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	122300000X	Dentist	22DI02172400	NJ

General Provider Information

NPI Number	:	1821203696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA DEANNE MARONPOT DMD

Provider Business Mailing Address
First Line	:	8 ANDERSON ROAD
Second Line	:
City	:	BERNARDSVILLE
State	:	NJ
Zip	:	07924-2319
Country	:	US
Telephone Number	:	908-766-7445
Fax Number	:	908-766-7116

Provider Business Practice Location Address
First Line	:	8 ANDERSON ROAD
Second Line	:
City	:	BERNARDSVILLE
State	:	NJ
Zip	:	07924-2319
Country	:	US
Telephone Number	:	908-766-7445
Fax Number	:	908-766-7116

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

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	07/08/2007

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