Provider Demographics
NPI:1497933964
Name:RAPONE FAMILY DENTISTRY PC
Entity Type:Organization
Organization Name:RAPONE FAMILY DENTISTRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:RAPONE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:856-299-2818
Mailing Address - Street 1:294 HARDING HWY
Mailing Address - Street 2:
Mailing Address - City:CARNEYS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08069
Mailing Address - Country:US
Mailing Address - Phone:856-299-2818
Mailing Address - Fax:856-299-6555
Practice Address - Street 1:294 HARDING HWY
Practice Address - Street 2:
Practice Address - City:CARNEYS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08069
Practice Address - Country:US
Practice Address - Phone:856-299-2818
Practice Address - Fax:856-299-6555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01487800122300000X
NJ22DI01564400122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty