Provider Demographics
NPI:1205044435
Name:HALPIN, ANNMARIE (DMD)
Entity Type:Individual
Prefix:
First Name:ANNMARIE
Middle Name:
Last Name:HALPIN
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 1:669 BLOOMFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-2513
Mailing Address - Country:US
Mailing Address - Phone:973-748-8092
Mailing Address - Fax:
Practice Address - Street 1:669 BLOOMFIELD AVE
Practice Address - Street 2:2 FLOOR
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-2513
Practice Address - Country:US
Practice Address - Phone:973-748-8092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ16962122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist