Provider Demographics
NPI:1477763548
Name:ALBANO, MARC L (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:L
Last Name:ALBANO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4 BURTON LN
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MULLICA HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08062-9441
Mailing Address - Country:US
Mailing Address - Phone:856-842-5400
Mailing Address - Fax:856-842-5220
Practice Address - Street 1:4 BURTON LN
Practice Address - Street 2:SUITE 400
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062-9441
Practice Address - Country:US
Practice Address - Phone:856-842-5400
Practice Address - Fax:856-842-5220
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2016-02-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ22DI023441001223P0221X
PADS0370151223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry