Provider Demographics
NPI:1093946881
Name:HAMBERGER, JOHN T
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:T
Last Name:HAMBERGER
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:T
Other - Last Name:HAMBERGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:155 S LIVINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3030
Mailing Address - Country:US
Mailing Address - Phone:973-992-0075
Mailing Address - Fax:
Practice Address - Street 1:155 S LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3030
Practice Address - Country:US
Practice Address - Phone:973-992-0075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01404300122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist