Provider Demographics
NPI:1558424770
Name:HOWARD CETEL DDS, PA
Entity Type:Organization
Organization Name:HOWARD CETEL DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CETEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:856-464-1900
Mailing Address - Street 1:27 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANTUA
Mailing Address - State:NJ
Mailing Address - Zip Code:08051-1475
Mailing Address - Country:US
Mailing Address - Phone:856-464-1900
Mailing Address - Fax:856-464-1709
Practice Address - Street 1:27 MAIN ST
Practice Address - Street 2:
Practice Address - City:MANTUA
Practice Address - State:NJ
Practice Address - Zip Code:08051-1475
Practice Address - Country:US
Practice Address - Phone:856-464-1900
Practice Address - Fax:856-464-1709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ14495261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental