Provider Demographics
NPI:1447404702
Name:MORGADO, ARACELIO (DDS)
Entity Type:Individual
Prefix:
First Name:ARACELIO
Middle Name:
Last Name:MORGADO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 S NEW RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08232-3738
Mailing Address - Country:US
Mailing Address - Phone:609-641-5400
Mailing Address - Fax:609-641-4025
Practice Address - Street 1:1400 S NEW RD
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08232-3738
Practice Address - Country:US
Practice Address - Phone:609-641-5400
Practice Address - Fax:609-641-4025
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI023868001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice