DR. GEORGE THOMAS FAVETTA JR. (NPI# 1013161553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013161553 |
| Entity Type | Individual |
| Full Name | DR. GEORGE THOMAS FAVETTA JR. |
| Credential | DMD |
| Practice Address |
1966 Washington Valley Rd Martinsville NJ 08836-2037 |
| Practice Telephone | 7322710055 |
| Practice Fax Number | 7322710511 |
| Mailing Telephone | 7322710055 |
| Mailing Fax Number | 7322710511 |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
22DI01516600 | NJ | Dental Providers |
| Street Address |
1966 WASHINGTON VALLEY RD |
| City | MARTINSVILLE |
| State | NJ |
| Zip Code | 08836-2037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891070165 | Stephen Imperato | Pharmacist | 83 Hillcrest Rd, Martinsville, NJ 08836 | 2011-10-18 |
| 1003029448 | Vera J Musial - Slowey | Speech-Language Pathologist | 1724 Washington Valley Road, Vjm Speech & Swallowing Therapy, Martinsville, NJ 08836 | 2007-05-08 |
| 1265565261 | William Joseph Frye | Specialist/Technologist | 39 Martinsville Road, Martinsville, NJ 08836 | 2007-03-13 |
| 1922014729 | Edward Vincent Sofo | Chiropractor | 1931 Washington Valley Road, Martinsville, NJ 08836 | 2006-08-01 |
| 1982799524 | M R Pharmacy Inc | Pharmacy | 1990 Washington Valley Rd, Martinsville, NJ 08836 | 2006-10-03 |
| 1588671556 | Pro Rehab, LLC | Chiropractor | 1931 Washington Valley Road, Martinsville, NJ 08836 | 2006-08-02 |
| 1538490248 | Martinsville Rescue Squad, Inc. | Ambulance | 1771 Washington Valley Rd, Martinsville, NJ 08836-2003 | 2010-01-20 |
| 1164511788 | John Cross | Dentist | 1794 Washington Valley Rd, Martinsville, NJ 08836-2008 | 2006-10-12 |
| 1790844777 | Daniel Brainum | Chiropractor | 1910 Washington Valley Rd, Martinsville, NJ 08836-2026 | 2006-12-06 |
| 1033307301 | Somerville Chiropractic Center Pa | Chiropractor | 1910 Washington Valley Rd, Martinsville, NJ 08836-2026 | 2007-10-11 |
| Find all providers in zip 08836 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164511788 | John Cross | Dentist | 1794 Washington Valley Rd, Martinsville, NJ 08836-2008 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124403795 | Heba Elkassaby | Dentist | 110 Bergen St Rm C-703, Newark, NJ 07103-2495 | 2015-07-24 |
| 1396131371 | Nakul H Rathi | Dentist | 28 Powderhorn Dr, Rockaway, NJ 07866-4835 | 2015-04-07 |
| 1447507785 | Smile Design Specialist, L.L.C. | Dentist | 312 Belleville Turnpike, Suite 3-b, North Arlington, NJ 07031-6460 | 2012-08-06 |
| 1619234358 | Sherman Farahani | Dentist | 1100 Maxwell Ln Unit 1106, Hoboken, NJ 07030-6881 | 2012-04-19 |
| 1144595356 | Advanced Dental of Woolwich | Dentist | 1630 Rt 322, Suite F, Woolwich, NJ 08085 | 2012-03-21 |
| 1164792453 | Daniel Seth Greenbaum | Dentist | 592 Us Highway 46, Fairfield, NJ 07004 | 2012-01-04 |
| 1740432137 | Central New Jersey Prosthodontics LLC | Dentist | 115 Copperfield Ln, Metuchen, NJ 08840-1234 | 2008-10-16 |
| 1043478977 | Edward J Kuch | Dentist | 733 River Road, Fair Haven, NJ 07704-3311 | 2008-05-28 |
| 1952573412 | Gail Patricia Petrosky | Dentist | 225 Gordons Corner Road, Suite 2e, Manalapan, NJ 07726 | 2008-03-25 |
| 1639375470 | Robert A Saporito | Dentist | 835 South Dr, Brick, NJ 08724-4835 | 2007-06-26 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSVILLE |
| Zip Code | 08836 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.