Provider Demographics
NPI:1659805729
Name:QUIGLEY, EMMA MARIE (DMD)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:MARIE
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 SPARTA AVE
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-1196
Mailing Address - Country:US
Mailing Address - Phone:973-729-7200
Mailing Address - Fax:973-729-8555
Practice Address - Street 1:332 SPARTA AVE
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1196
Practice Address - Country:US
Practice Address - Phone:973-729-7200
Practice Address - Fax:973-729-8555
Is Sole Proprietor?:No
Enumeration Date:2017-04-17
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI027196001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice