Provider Demographics
NPI:1437395274
Name:NOVITT, ALICE D (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALICE
Middle Name:D
Last Name:NOVITT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:MRS
Other - First Name:ALICE
Other - Middle Name:D
Other - Last Name:NOVITT-BOTTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:769 KEARNY AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-3146
Mailing Address - Country:US
Mailing Address - Phone:201-991-1608
Mailing Address - Fax:
Practice Address - Street 1:769 KEARNY AVE
Practice Address - Street 2:
Practice Address - City:KEARNY
Practice Address - State:NJ
Practice Address - Zip Code:07032-3146
Practice Address - Country:US
Practice Address - Phone:201-991-1608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI146871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice