Provider Demographics
NPI:1689129942
Name:CASTANO, ALEJANDRO (DDS)
Entity Type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:
Last Name:CASTANO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 POCONO RD STE 213
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2907
Mailing Address - Country:US
Mailing Address - Phone:973-625-0602
Mailing Address - Fax:973-625-0602
Practice Address - Street 1:16 POCONO RD STE 213
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834
Practice Address - Country:US
Practice Address - Phone:973-625-0602
Practice Address - Fax:973-625-8077
Is Sole Proprietor?:No
Enumeration Date:2016-08-16
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059538-011223P0300X
NJ22DI026047001223P0300X
MADN185756141223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics