Provider Demographics
NPI:1376563072
Name:BOOK, DAVID M (DMD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:BOOK
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 1:272 US HIGHWAY 206
Mailing Address - Street 2:SUITE C8
Mailing Address - City:FLANDERS
Mailing Address - State:NJ
Mailing Address - Zip Code:07836-9081
Mailing Address - Country:US
Mailing Address - Phone:973-598-1161
Mailing Address - Fax:973-598-1160
Practice Address - Street 1:272 US HIGHWAY 206
Practice Address - Street 2:SUITE C8
Practice Address - City:FLANDERS
Practice Address - State:NJ
Practice Address - Zip Code:07836-9081
Practice Address - Country:US
Practice Address - Phone:973-598-1161
Practice Address - Fax:973-598-1160
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0198101223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics