Provider Demographics
NPI:1013039957
Name:CONTE, LOUIS B
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:B
Last Name:CONTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:LOUIS
Other - Middle Name:B
Other - Last Name:CONTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD PC
Mailing Address - Street 1:223 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-1727
Mailing Address - Country:US
Mailing Address - Phone:732-758-0414
Mailing Address - Fax:732-758-0519
Practice Address - Street 1:223 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1727
Practice Address - Country:US
Practice Address - Phone:732-758-0414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI016114001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice