Provider Demographics
NPI:1659482982
Name:ANTHONY F MASCIA DMD PA
Entity Type:Organization
Organization Name:ANTHONY F MASCIA DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:F
Authorized Official - Last Name:MASCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-349-1626
Mailing Address - Street 1:803 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-6519
Mailing Address - Country:US
Mailing Address - Phone:732-349-1626
Mailing Address - Fax:732-286-0788
Practice Address - Street 1:803 MAIN ST
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-6519
Practice Address - Country:US
Practice Address - Phone:732-349-1626
Practice Address - Fax:732-286-0788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D100892000122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty