Provider Demographics
NPI:1225258650
Name:GALDIERI, CARMINE JOHN III (DMD)
Entity Type:Individual
Prefix:DR
First Name:CARMINE
Middle Name:JOHN
Last Name:GALDIERI
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 RIDGEDALE AVE
Mailing Address - Street 2:
Mailing Address - City:CEDAR KNOLLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07927-1632
Mailing Address - Country:US
Mailing Address - Phone:973-993-1979
Mailing Address - Fax:
Practice Address - Street 1:104 RIDGEDALE AVE
Practice Address - Street 2:
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927-1632
Practice Address - Country:US
Practice Address - Phone:973-993-1979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI07660122300000X
NJ22DI017660001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1225258650OtherDENTAL OFFICE