Provider Demographics
NPI:1407017379
Name:CAGGIANO, DAVID J (MS, DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:CAGGIANO
Suffix:
Gender:M
Credentials:MS, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 PARSIPPANY RD
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1294
Mailing Address - Country:US
Mailing Address - Phone:973-887-8780
Mailing Address - Fax:973-887-9045
Practice Address - Street 1:316 PARSIPPANY RD
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1294
Practice Address - Country:US
Practice Address - Phone:973-887-8780
Practice Address - Fax:973-887-9045
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI021579001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics