LINCOLN COMMONS DENTAL ASSOC, PA (NPI# 1295940542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295940542 |
| Entity Type | Organization |
| Organization Name | LINCOLN COMMONS DENTAL ASSOC, PA |
| Practice Address |
59 Beaverbrook Rd Suite 301 Lincoln Park NJ 07035-1794 |
| Mailing Address |
59 Beaverbrook Road Suite 301 Lincoln Park NJ 07035 |
| Practice Telephone | 9736860060 |
| Practice Fax Number | 9736860770 |
| Mailing Telephone | 9736860060 |
| Mailing Fax Number | 9736860770 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK DEFONTE (DENTIST) |
| Authorized Official Telephone | 9736860060 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
17918 | NJ | Dental Providers |
| Street Address |
59 BEAVERBROOK RD SUITE 301 |
| City | LINCOLN PARK |
| State | NJ |
| Zip Code | 07035-1794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336163062 | Nicholas Didonato | Counselor | 59 Beaverbrook Rd, Suite 303c, Lincoln Park, NJ 07035-1794 | 2006-07-26 |
| 1861542169 | Mark Defonte | Dentist | 59 Beaverbrook Rd, Suite 301, Lincoln Park, NJ 07035-1794 | 2007-01-11 |
| 1144382581 | Mary Ruth Smith | Social Worker | 59 Beaverbrook Rd, Suite 303d, Lincoln Park, NJ 07035-1794 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333802 | Nancy Barrett | Massage Therapist | 63 Beaver Brook Road, Suite 105, Lincoln Park, NJ 07035 | 2018-04-19 |
| 1407182801 | Jody S Chimbel-berg | Occupational Therapist | 503 Pine Brook Rd., Lincoln Park, NJ 07035 | 2009-10-20 |
| 1588999486 | Jeffrey Michael Falduto | Dentist | 8 Chapel Hill Road, Lincoln Park, NJ 07035 | 2009-10-09 |
| 1467785519 | Richard Anthony Ashman | Physical Therapy Assistant | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-09-08 |
| 1679795835 | Anju Budhwani | Internal Medicine | 166 Main St Ste 1a, Lincoln Park, NJ 07035 | 2007-05-03 |
| 1740356575 | Anna Marie Kotsen | Marriage & Family Therapist | 59 Beaver Brook Rd, Suite 303d, Lincoln Park, NJ 07035 | 2006-11-24 |
| 1700992039 | Jeffrey M Falduto Dmd Dental Practice LLC | Dentist | 8 Chapel Hill Rd, Lincoln Park, NJ 07035 | 2006-08-21 |
| 1063877207 | Kenneth Fernandez | Occupational Therapy Assistant | 209 Comly Rd, M13, Lincoln Park, NJ 07035 | 2015-12-15 |
| 1316273717 | Beata Hertel-kiszkiel | Occupational Therapist | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-10-20 |
| 1750523726 | Walgreen Co | Pharmacy | 153 Main St, Lincoln Park, NJ 07035 | 2009-04-06 |
| Find all providers in zip 07035 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285030569 | Beautiful Smiles Dentistry Inc. | Dentist | 166 Main St Ste 1b, Lincoln Park, NJ 07035-1791 | 2014-11-13 |
| 1588999486 | Jeffrey Michael Falduto | Dentist | 8 Chapel Hill Road, Lincoln Park, NJ 07035 | 2009-10-09 |
| 1538285150 | Paul M Polyviou Dds, P.C. | Dentist | 3784 Dix Hwy, Lincoln Park, MI 48146 | 2007-03-22 |
| 1366568230 | Paul M Polyviou | Dentist | 3784 Dix Toledo Rd, Lincoln Park, MI 48146 | 2007-03-22 |
| 1356473284 | Joseph Arthur Padesky | Dentist | 1880 Emmons Blvd, Lincoln Park, MI 48146-3866 | 2007-03-09 |
| 1124166459 | Anthony Wayne Stines | Dentist | 3577 Fort St, Lincoln Park, MI 48146-4114 | 2007-02-01 |
| 1316021561 | Fouad Ashhar Khan | Dentist | 3257 Fort St, Lincoln Park, MI 48146-3632 | 2006-10-24 |
| 1780775593 | Lawrence Mark Gerstein | Dentist | 3830 Fort St, Lincoln Park, MI 48146-4107 | 2006-09-27 |
| 1700992039 | Jeffrey M Falduto Dmd Dental Practice LLC | Dentist | 8 Chapel Hill Rd, Lincoln Park, NJ 07035 | 2006-08-21 |
| 1003929662 | The Dental Clinic PC | Dentist | 1359 Champaign, Lincoln Park, MI 48146-3303 | 2006-08-17 |
| Find all providers in LINCOLN PARK | ||||
| City | LINCOLN PARK |
| Zip Code | 07035 |
Please comment or provide details below to improve the information on LINCOLN COMMONS DENTAL ASSOC, PA.
| 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.