Provider Demographics
NPI:1730287988
Name:CHECKETT D.D.S AND FELICI D.D.S. LLC
Entity Type:Organization
Organization Name:CHECKETT D.D.S AND FELICI D.D.S. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:FELICI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:732-920-1188
Mailing Address - Street 1:990 CEDARBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-4159
Mailing Address - Country:US
Mailing Address - Phone:732-920-1188
Mailing Address - Fax:732-920-9390
Practice Address - Street 1:990 CEDARBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-4159
Practice Address - Country:US
Practice Address - Phone:732-920-1188
Practice Address - Fax:732-920-9390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI019400001223G0001X
NJ22DI020081001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty