Provider Demographics
NPI:1194806406
Name:NAPOLITANO, LOUIS (DMD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:
Last Name:NAPOLITANO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2046 W COUNTY LINE RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-2014
Mailing Address - Country:US
Mailing Address - Phone:732-905-2488
Mailing Address - Fax:732-905-8088
Practice Address - Street 1:2046 W COUNTY LINE RD
Practice Address - Street 2:SUITE 2
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-2014
Practice Address - Country:US
Practice Address - Phone:732-905-2488
Practice Address - Fax:732-905-8088
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ13668DMD1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice