Provider Demographics
NPI:1275155053
Name:ARENA, ANTHONY ROCCO (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:ROCCO
Last Name:ARENA
Suffix:
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 1:16 CALICOONECK RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07606-1637
Mailing Address - Country:US
Mailing Address - Phone:201-562-4897
Mailing Address - Fax:
Practice Address - Street 1:150 RIVER RD STE K3
Practice Address - Street 2:
Practice Address - City:MONTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07045-8924
Practice Address - Country:US
Practice Address - Phone:973-335-8046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-14
Last Update Date:2020-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI027879001223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics