Provider Demographics
NPI:1659681559
Name:PASTIU, SEPTIMIU NICOAAE (DMD)
Entity Type:Individual
Prefix:DR
First Name:SEPTIMIU
Middle Name:NICOAAE
Last Name:PASTIU
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 FRIES MILL ROAD
Mailing Address - Street 2:SUITE D-3
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012
Mailing Address - Country:US
Mailing Address - Phone:856-582-2220
Mailing Address - Fax:856-318-7603
Practice Address - Street 1:188 FRIES MILL ROAD
Practice Address - Street 2:SUITE D-3
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012
Practice Address - Country:US
Practice Address - Phone:856-582-2220
Practice Address - Fax:856-318-7603
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-14
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02442700122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist