Provider Demographics
NPI:1124360730
Name:CONFALONE, DEANNE (DMD)
Entity Type:Individual
Prefix:
First Name:DEANNE
Middle Name:
Last Name:CONFALONE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 PERSHING RD
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-1914
Mailing Address - Country:US
Mailing Address - Phone:201-970-8171
Mailing Address - Fax:
Practice Address - Street 1:175 PERSHING RD
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-1914
Practice Address - Country:US
Practice Address - Phone:201-970-8171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-21
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ021352122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist