Provider Demographics
NPI:1083712384
Name:LAFEMINA, ALFONSE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALFONSE
Middle Name:
Last Name:LAFEMINA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 TENNENT RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8250
Mailing Address - Country:US
Mailing Address - Phone:732-536-2600
Mailing Address - Fax:732-536-7574
Practice Address - Street 1:821 TENNENT RD
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8250
Practice Address - Country:US
Practice Address - Phone:732-536-2600
Practice Address - Fax:732-536-7574
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0393731223G0001X
NJDI152551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice