Provider Demographics
NPI:1417172917
Name:BANCROFT, JAMES J (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:J
Last Name:BANCROFT
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 1:71 FRANKLIN TPKE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:WALDWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:07463-1851
Mailing Address - Country:US
Mailing Address - Phone:201-447-1611
Mailing Address - Fax:201-447-0104
Practice Address - Street 1:71 FRANKLIN TPKE
Practice Address - Street 2:SUITE 6
Practice Address - City:WALDWICK
Practice Address - State:NJ
Practice Address - Zip Code:07463-1851
Practice Address - Country:US
Practice Address - Phone:201-447-1611
Practice Address - Fax:201-447-0104
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD024946001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics