Provider Demographics
NPI:1336288265
Name:MATHESON, JANETE TONELINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JANETE
Middle Name:TONELINE
Last Name:MATHESON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 ENGLISH CREEK AVE
Mailing Address - Street 2:SUITE 215
Mailing Address - City:EGG HARBOR TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-4880
Mailing Address - Country:US
Mailing Address - Phone:609-677-7573
Mailing Address - Fax:609-677-8717
Practice Address - Street 1:3003 ENGLISH CREEK AVE
Practice Address - Street 2:SUITE 215
Practice Address - City:EGG HARBOR TWP
Practice Address - State:NJ
Practice Address - Zip Code:08234-4880
Practice Address - Country:US
Practice Address - Phone:609-677-7573
Practice Address - Fax:609-677-8717
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0213931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice